THE SCHOOL DISTRICT OF MARTIN COUNTY, FLORIDA
REMOTE LEARNING OPTION Form# 1342
Parent Commitment Form 7/31/20
2020 - 2021
Date: ____________________
Student Name: ____________________________________
Student #4300 Number: ___________________________
Instructional Model: (Choose one below)
Remote Learning at Home
Traditional (In School) Learning
Need Laptop? Yes No
Have Wi-Fi in Home? Yes No
Parent/Guardian Name: _____________________________
Parent/Guardian Email: _____________________________
Parent/Guardian Phone number: ______________________
Student DOB: ______________________
Grade Level: ______________________
