Location Check-In, School Meals, and Connectivity Survey

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Do you have a student enrolled in McKenzie River Community School (MRCS) or a child who is 18 or younger? Please take a moment to fill out this survey. It will help us get families the resources that are needed to help students be successful. We realize that some of the information is duplicative, we apologize and Thank You for your time.

Email *

Parent/Guardian *

Please type First and Last Name

Home Address *

This would be your permanent address, even if you are not currently residing there. Please include at least the street address and the city. Only physical address, no PO boxes.

Current Location *

Please choose where you are currently living. If choosing Other please describe.

Upriver @ home.

Upriver @ alternate location (other than my home).

In Springfield @ hotel.

In Eugene @ hotel.

In Eugene @ Red Cross Relief Center.

Renting in Springfield.

Renting in Eugene.

Other:

Current Address *

The address of your 𝐜𝐮𝐫𝐫𝐞𝐧𝐭 location. (Please give the complete address: Street, City, State, Zip.) If it is the same as your permanent address please type permanent.

Mailing Address *

Do we have a good mailing address for you? Please tell us if we need to update your mailing address.

Update (Fill out following question)

No update needed

Mailing Update Info

Street, City, Zip

Phone Number *

Do we need to update your phone number on file?

Update (Fill out next question)

No update needed

Phone Number Update Info

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