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Blue Ridge Student Needs for Remote Learning
This form is being used to collect information pertaining to student needs during our scheduled remote learning days.
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Does your student have Internet access to do schoolwork during the school closure? This question is applicable to those with students in grades 2-12. Select all that apply
Yes
No
Please have someone call me about how to provide internet access for my child.
I do not have a student in grades 2-12, this question does not apply to me.
All children currently under your supervision in your home (18 and under) are eligible to receive free lunches during remote learning. This applies to non-Blue Ridge students in your care. Would you like to receive meals for your children during the remote learning days? This would include breakfast and lunch.
Yes
No
For how many children are you requesting meals?
Your answer
What are the names of the children receiving meals?
Your answer
Would you be interested in purchasing adult meals at the cost of $4.00/day? This includes breakfast and lunch. Cash and check are accepted.
Yes
No
Clear selection
How many adult meals are you purchasing per day? One adult meal consists of breakfast and lunch.
Your answer
Meals will be available for pick up from 8-10 at the following locations: BRIJHS in Mansfield, Schneider School in Farmer City, Bellflower Community Center in Bellflower. Can you pick up your meals? Please mark your preferred pick-up location.
Yes
No
I am interested but I cannot be available during that time, please have someone call me.
Schneider
BRIJHS
Bellflower Community Center
Are there any student medications you need to pick up from school?
Yes
No
I need someone to call me about this.
Is there anything else you need assistance with or anything you would like to let us know?
Your answer
Parent Name
Your answer
Parent phone number
Your answer
Parent email
Your answer
Parent Address
Your answer
Name of BR current student(s)
Your answer
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