Distanced Learning Registration

BSM will host a Distance Learning hub for students to complete homework and receive tutoring/help with class. Please complete the form to register for Distanced Learning. Please complete one form per student.
Student Name(Required)
Student Courses
Please select all of the courses your child is enrolled in
Would you like to allow Resurgence staff to view grades and progress reports for your child?(Required)
Will transportation be needed?(Required)
Has anyone in your household tested positive, or been exposed to someone who tested positive, for COVID-19?(Required)
Will your child require personal protective equipment provided?(Required)
Parent/Student Address
Would you (the parent) like to volunteer?
Please provide their name and phone number