2021-2022 Distribution Form

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2021-2022 Distribution Form - Ms. Price

Please fill this form out for contact purposes.

Student First Name *

Student Last Name *

Student Block *

Fall A Block

Fall B Block

Fall C Block

Fall E Block

Spring B Block

Spring C Block

Spring D Block

Spring E Block

Unsure

Parent/Guardian Name 1 (First and Last) *

Parent/Guardian 1 Email *

Parent/Guardian 1 Phone number *

Parent/Guardian Name 2 (If both parents want to be on the distribution list.) Optional

Parent/Guardian 2 Email

Parent/Guardian 2 Phone number

Are there any internet issues that could impact your child's ability to complete daily assignments? *

Sometimes students need additional time outside of scheduled class for additional instruction. Please select times listed below that your child would be able to attend one of these sessions. (check all that apply) *

After School 3:30-4:30

During Lunch or Pull During PE Class (only if parent approves and if needed)

Required

What were some of the positive outcomes you witnessed last year when we were doing the hybrid schedule? What worked well for your child? *

What were some of the negative outcomes you witnessed last year when we were doing the hybrid schedule? What are some things the school (teachers/administration) can work on this year if we have to encounter hybrid days again? *

Anything you would like me to know about your child that could help me in the classroom?

I will be doing Science Bowl this year which is a team that competes with other schools about all things science. Would your child be interesting in learning more about this opportunity?

Yes

Clear selection

Any other comments or questions you would like to ask?

Submit

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