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Family Internet and Device Survey
Please complete one form per family.
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* Indicates required question
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
My child(ren) are in the following grades:
*
Little Dragons
K-Prep
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Required
Child #1 (First & Last Name)
*
Your answer
Child #2 (First & Last Name)
Your answer
Child #3 (First & Last Name)
Your answer
Child #4 (First & Last Name)
Your answer
We have access to the internet at home
*
Choose
Yes
No
My child(ren) has/have access to the following devices:
*
iPad
Laptop or Desktop Computer
Smart Phone
Required
Does the device have a camera?
*
Choose
Yes
No
Does the device have a microphone?
*
Choose
Yes
No
Submit
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