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Device Drop Off, Supply Pick Up
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* Indicates required question
Email
*
Your email
Students Last Name, First Name (list all students)
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Your answer
Parent Email
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Your answer
Pick Up & Drop Off Days: Asssigned by Alphabet Order. Please mark YES or NO if you can come on your assigned date. (Can choose a time between 9:00-3:00 on your day) Last Name A-K: Tuesday, May 19th Last Name L-Z: Wednesday, May 20th
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YES, the date assigned works
NO, the date assigned will not work
If marked "NO", pick a date that does work for you.
Tuesday, May 19th
Wednesday, May 20th
Thursday, May 21st
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What time frame do you plan to come on your assigned date?
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9:00-11:00
11:00-1:00
1:00-3:00
If those time frames do not work, please propose an additional time frame and someone will email you with a confirmation.
Your answer
I have medication from the health room I need to pick up for my child.
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YES
NO
Send me a copy of my responses.
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