JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Screen Free Week - May 2 through May 9
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student Name
*
Your answer
My child completed 7 screen free days!
*
Yes
No
We will have an ice cream party to celebrate. Does your child have any food allergies/restrictions we should know about? We will do our best to help. Please write "none" if everything is OK.
*
Your answer
Parent's name
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
