Please complete this form ONLY if you wish to request a change to the declaration submitted in July 2020 for your child’s instructional model during Stage 2. If you are happy with your original choice, you do not need to fill this out.

By filling out and signing the form, you are aware that your request will be reviewed by the school’s administration to determine the school’s ability to accommodate the change safely. A notification will be sent regarding your request to change your original declaration no later than October 23. The change must be made with the CDC guidelines of social distancing of classrooms in mind and might require a modification to your child’s teacher or schedule. Every attempt will be made to accommodate as many students back into the building during Phase 2 as expeditiously as possible, . Please be patient.  Thank you.