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Parent Information
Please fill out this survey and turn it in by Monday, September 27th, 2021
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* Indicates required question
Student's First and Last Name
*
Your answer
Parent 1 First and Last Name
*
Your answer
Parent 1 email address
*
Your answer
Parent 1 phone number
*
Your answer
Parent 2 First and Last Name
Your answer
Parent 2 email address
Your answer
Parent 2 Phone Number
Your answer
Do you have access to an electronic device at home?
*
Yes
No
What type of device is available at home?
*
Your answer
Do you have internet access at home?
*
Yes
No
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