ONLY Complete this form if you want to RETURN to the traditional, face-to-face.
Opt Out
You must complete a separate Opt-Out form for each student. The Opt-Out form must be submitted on or before January 16, 2026 by 3:00 PM. Once you have submitted the Opt-Out form, your child will be re-enrolled into the traditional, face-to-face building for second semester.
What is the intent for your child?
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I want my child to attend traditional, face-to-face school, and I understand that my child will remain in virtual school until the end of the first semester (January 16, 2026).
Date
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Month
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Day
Year
Date
School
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Beckley Elementary
Beckley-Stratton Middle
Bradley Elementary
Clear Fork Elementary
Coal City Elementary
Cranberrry-Prosperity Elementary
Crescent Elementary
Daniels Elementary
Fairdale Elementary
Ghent Elementary
Hollywood Elementary
Independence High
Independence Middle
Liberty High
Mabscott Elementary
Marsh Fork Elementary
Maxwell Hill Elementary
Park Middle
Ridgeview Elementary
Shady Spring Elementary
Shady Spring High
Shady Spring Middle
Stanaford Elementary
Stratton Elementary
Trap Hill Middle
Woodrow Wilson High
Grade:
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K
1
2
3
4
5
6
7
8
9
10
11
12
Child's Last Name
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Child's First Name
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Child's Middle Name
Parent/Guardian's Name
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Parent/Guardian's Email. (Please use a working email for receipt of completed forms)
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example@example.com
Mailing Address
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Parent/Guardian's Home Phone
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Parent/Guardian's Work Phone
Parent/Guardian’s Email Address (if available, and if you want to receive progress reports that may be available from the course provider):
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This agreement, agreements ancillary to this agreement, and related documents entered into in connection with this agreement are signed when a party’s signature is delivered by email or other electronic medium. These signatures must be treated in all respects as having the same force and effect as original signatures.
Signature- To sign, use your finger, mouse, or stylus in the box.
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Please verify that you are human
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Submit
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