Bristol Borough School District's                                      21st CCLC Summer Interest Survey
21st CCLC leadership is conducting a survey to gauge the willingness of parents/guardians to have their child(ren) participate in a virtual and/or blended approach to summer camp this year.  There any many variations and different circumstances that will be asked as part of this survey; however, this DOES NOT mean that camp will be run in a certain format just because the question is there.  This is to see what parents/guardians will be willing to allow their students to do.

We are working closely with the BBSD/St. Mark Administration and following guidance given by Governor Wolf and the Pennsylvania Department of Education to provide the most effective remote educational and recreational activities.

Please fill out this survey in its entirety.
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Email *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Student Name(s) *
2020-21 Student Grade Levels - Check all that apply to children in your home *
Required
Would you have your child participate in a completely virtual (online) summer camp? *
Would you have your student participate in live virtual activities hosted by 21st CCLC designated staff? (All proper clearances obtained during hiring process.)
Clear selection
Do you have a device for your child to participate in daily virtual activities? (21st CCLC will cross-reference district device inventory list)
Clear selection
If summer camp were to have a blended approach (some virtual and some in person), would you send your student to on-site activities? *
If camp were to have some face-to-face activities, could your child wear a mask for an extended period of time? *
Why do you need summer camp? Check all that apply. *
Required
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