During the Coronavirus, COVID-19 Pandemic, we request permission to post the following Region 4 resources within our
learning management system (LMS).

We certify that we have a purchased copy for each teacher for whom these activities will be posted.

Permission will be considered for all resources with the exception of Reading by Design. Please see the pages that
follow for recommendations regarding the use of this resource during this pandemic.

During the Coronavirus, COVID-19 Pandemic, we request permission to print student pages for the following Region 4
resources for home-based packets. Permission will be considered for all resources with the exception of Reading by
Design. Please see the pages that follow for recommendations regarding the use of this resource during this pandemic.

If printing copies for students, we understand that 90 copies may be made for each purchased Kindergarten–Grade 5
resource and that 150 copies may be made for each purchased Grade 6–12 resource.

We certify that materials will be removed from online storage by July 15, 2020.

Printed Name of Requestor

Region 4 Staff

Title

Title

Organization

Department

Digital Signature

Digital Signature

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