JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Distance Learning Check-In for PHS Dance Classes
Dear Students and Parents,
I would like to get a better picture of how I can support our students and their families during this time.
Please take this quick survey.
Sincerely,
Ms. Sharon Idul
pitthighdance@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's First and Last Name
*
Your answer
Which Dance Class are you enrolled in?
*
3rd Period (Unified Dance)
4th Period
5th Period
Do you have access to a computer or laptop?
*
Yes
No
Do you have access to internet?
*
Yes
No
Parent/Guardian's Name
*
Your answer
Preferred Method of Contact
*
Cell Phone/Home Phone
Email
Remind
Zoom
Do you have any concerns during this time. How can I help? (distance learning, access to food, access to computers, access to internet, out of work, childcare, worried about graduating/grades, etc.)
*
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
