Virtual/Hybrid Change of Learning Option Form
School:
Student Last Name: Student First Name:
Student ID Number (Lunch #): Grade:
I request that the above student be changed to full virtual learning.
Parent/Guardian Signature:_________________________________________________________________
Date ___________________
I request that the above student be changed to hybrid learning.
Parent/Guardian Signature:_________________________________________________________________
Date ___________________
Change of Learning Option
Principals in each building will be the contact person for changing your child’s learning option.
Guidelines
The student may change the Hybrid or Virtual Learning Option by having the parent(s)/guardian(s) complete and return
this form to the school under the guidelines below:
1. Parent(s)/Guardian(s) who would like their child to change from Hybrid to Virtual Learning:
(a) Contact school Principal by mail using this form.
(b) The principal will review the request
(c) If approved by the principal, 14 days after parent(s)/guardian(s) contacted school principal, students will
begin Virtual Learning and parents/guardians have signed the Virtual Learning Option Release Form.
2. Parent(s)/Guardian(s) who would like their child to change from Virtual to Hybrid Learning:
(a) Contact school Principal by mail using this form.
(b) The principal will review the request
(c) The option to change back, from Virtual to Hybrid, can only take place by written request to principal 14 days
prior to subsequent marking period.
Approved by __________________________________________ on ____________________________