Lyndonville CSD family information request

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Please complete this form for EACH of the children in your household. This needs to be completed by August 14th. Thank you.

Guardian / Parent last name *

Guardian / Parent first name *

Child's first AND last name *

Child's grade level for the 2020-21 school year *

The child listed above will participate in *

In school learning

Remote / At Home Learning

The child above *

resides at an approved address for transportation AND will require school sponsored transportation to and from school. (Masks will be required to be worn while aboard school transportation.)

will NOT require school transportation (walkers, family drop off / pick up).

does not require transportation due to at home learning.

The child above *

has consistent and reliable access to the internet at our residence / location.

does NOT have consistent and reliable internet at our residence / location

The child above *

Is comfortable with basic keyboarding

Is familiar with the functions of Google Classroom and Google Apps

Is comfortable interacting via Google Meet or other two-way video communication tools

Has access to a suitable area in the home that is conducive to learning

None of the above apply to the child listed

Required

Thank you for completing this form. Please contact us with any questions:

PreK - 6th grade: Dr. Elissa Smith, esmith@LCSDK12.org, 765-3122
7th - 12th grade: Dr. Aaron Smith, aslack@LCSDK12.org, 765-3162
Transportation: Mrs. Lynn Fetzner, lfetzner@LCSDK12.org, 765-2701
Technology: Mr. Jason Wilhelm, jwilhelm@e1b.org

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