Loading...

Editing previous response:

Please fix the highlighted areas below before submitting.

Hybrid/All-Remote Transition Request Form - Roosevelt

As we work to bring our students back for more in-person instruction safely, we ask every parent with students in Grades 6-8 to commit to either hybrid or all-remote learning.  Please complete the following form as per emailed instructions from your building principal.

Please complete the form below. Required fields marked with an asterisk *

Grade*
Answer Required
I wish to*
Answer Required

IMPORTANT:  If you are requesting to transfer your child to remote learning due to possible COVID-19 symptoms or exposure, you must contact your school health office for further guidance.

Confirmation Email