Name of Parent/Guardian completing form. (first and last name) *
Your answer
What is the best phone number to reach you? *
Your answer
Name of student (first and last name) *
Your answer
What grade will your child be in for the 20-21 school year? *
Do you have reliable internet in your home? (one way to define "reliable internet" is that you have no difficulty streaming a video or participating in live Google Meet classes) *
Does your child have access to his or her own laptop, desktop, or tablet? (cell phones alone will not be enough to participate fully in distance learning?) *
If yes, what type of device(s) does your student have? *
Will your child be participating in after school activities such as the 21st Century program? *
Does your child have access to 20 or more books for at-home use? *
Will your child ride a bus to or from school? *
If yes, will your child ride in the morning, afternoon, or both?
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If your child rides a bus in the morning, please list the bus number below.
Your answer
If your child rides a bus in the afternoon, please list the bus number below.
Your answer
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