USD #416 Video/Audio Communication Parent/Guardian Permission Form
Due to the Continuous Learning opportunity for the remainder of the 2019-20 school year, please complete the following survey. Only one survey per family/household is necessary. Please identify each of your students below.
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I give my student(s) permission to communicate with their teacher(s) through "Video/Audio Communication" platforms such as Google Hangouts and Zoom for the remainder of the school year. *
Parent/Guardian Name                                                               *
Student #1 (Last Name, First Name) *
Student #1 attends the following building: *
Student #2 (Last Name, First Name)
Student #2 attends the following building:
Clear selection
Student #3 (Last Name, First Name)
Student #3 attends the following building:
Clear selection
Student #4 (Last Name, First Name)
Student #4 attends the following building:
Clear selection
Student #5 (Last Name, First Name)
Student #5 attends the following building:
Clear selection
Student #6 (Last Name, First Name)
Student #6 attends the following building:
Clear selection
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