Parent/Guardian Survey for 4 day in person instruction or full remote instruction

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Starting Wednesday, February 10, 2021we will begin offering 4 day in-person instruction in grades 1 and 2 then transition to include other grades in subsequent weeks. Our educational model choices moving forward will be 4 day in person or 4 day remote instruction. Fridays will continue to be asynchronous from home. We will discontinue the hybrid A/B model.

Please complete form by 8:00am Monday, February 8, 2021.

Please fill out the form for each child in the Bethel Park School District.

Email *

Parent/Guardian Name *

Student Name *

School *

Grade *

This student will be attending ________________ when the individual grade/school transitions into 4 day in person or remote instructional model. *

In-person

Remote

This child will be riding the bus? (answer yes, if your child may ride some of the time) *

Yes

This child will be eating district provided breakfasts/lunches? (answer yes if your child will eat school breakfasts/lunches at any time) *

Yes

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Bethel Park School District. Report Abuse

Forms