Return to School Commitment Form Please complete this form for all children who reside with you who attend SICS. Currently, we anticipate returning to a Hybrid Model on April 5th, 2021 with three Cohorts A, B and C. Cohort A and B will be rotating between hybrid and remote learning. Cohort C will be full remote learning. SICS will decide which cohort your student will be placed in unless you decide to continue with remote learning. If you have more than one child who attends SICS, they will be placed in the same cohort. PLEASE NOTE: There will be no before or after school day care program available. **Please enter your child’s name and grade below and enter your choices for return learning and transportation** 1st Student Student Name Grade KG Grade 01 Grade 02 Grade 03 Grade 04 Grade 05 Grade 06 Grade 07 Grade 08 Grade 09 Grade 10 Grade 11 Grade 12 Return Choice Hybrid Remote Transport AM Bus Own Walker N/A Remote Transport PM Bus Own Walker N/A Remote 2nd Student Student Name Grade KG Grade 01 Grade 02 Grade 03 Grade 04 Grade 05 Grade 06 Grade 07 Grade 08 Grade 09 Grade 10 Grade 11 Grade 12 Return Choice Hybrid Remote Transport AM Bus Own Walker N/A Remote Transport PM Bus Own Walker N/A Remote 3rd Student Student Name Grade KG Grade 01 Grade 02 Grade 03 Grade 04 Grade 05 Grade 06 Grade 07 Grade 08 Grade 09 Grade 10 Grade 11 Grade 12 Return Choice Hybrid Remote Transport AM Bus Own Walker N/A Remote Transport PM Bus Own Walker N/A Remote 4th Student Student Name Grade KG Grade 01 Grade 02 Grade 03 Grade 04 Grade 05 Grade 06 Grade 07 Grade 08 Grade 09 Grade 10 Grade 11 Grade 12 Return Choice Hybrid Remote Transport AM Bus Own Walker N/A Remote Transport PM Bus Own Walker N/A Remote Signature Parent/Guardian Signature Date By clicking submit, you will be committing your choice of either Hybrid or Remote learning through the end of the school year. (*) Required Fields Submit
