Editing previous response:

Please fix the highlighted areas below before submitting.

King City High School COVID-19 Personal Instruction Application in lieu of Distance Online Teams

Please explain why you are requesting a COVID-19 Personal Instruction application*

Answer Required

Application Date*

Answer Required

Student's Legal Name?*

Answer Required

Student's ID number *

Answer Required

Parent/Guardian Name*

Answer Required

Parent/Guardian Address*

Answer Required

Parent phone number*

Answer Required

Does your child access the following services?*

Answer Required

IEP

504 Plan

Migrant Education

English Language Support

Confirmation Email

Email Required