KCKPS Parent Assurances

Parent/Legal Guardian
Whenever USD 500 school district is in a model where students (Pre-K-12) will be working remotely, as the Parent/Legal Guardian of the children listed below:
1.
  First Name Last Name Grade School

2.
  First Name Last Name Grade School

3.
  First Name Last Name Grade School

4.
  First Name Last Name Grade School

5.
  First Name Last Name Grade School

6.
  First Name Last Name Grade School

7.
  First Name Last Name Grade School

8.
  First Name Last Name Grade School

9.
  First Name Last Name Grade School

10.
  First Name Last Name Grade School

11.
  First Name Last Name Grade School

12.
  First Name Last Name Grade School

I agree to the following assurances:
  1. I understand that my child(ren) may need additional support to complete assigned work, and to the best of our ability, our family will provide the needed support. Additionally, our family will provide supervision during the learning process.
  2. I agree that my child(ren) are expected to be available to communicate with teaching staff on a regular basis as outlined by the school district.
  3. If a student is unable to participate on any given day (illness or doctor appointment), I will notify my child’s school to report any absences.

Name of parent, guardian or responsible adult:
  First Name Last Name Date

    Please review and make sure all information is correct before submitting this form.