JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WLSD Parent Survey 2021-2022
The Western Line School District is asking parents to complete the following survey as we work to complete the Return to School Safety Plan. Your answers will remain confidential and will only be seen by District Administrators.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What school does your child attend?
O'Bannon Elementary School
O'Bannon High School
Riverside Elementary School
Riverside High School
Clear selection
Is your child above the age of 12?
Yes
No
Clear selection
Has your child tested positive for Covid- 19 in the past six months or been quarantined due to close contact?
Yes, my child had Covid-19.
Yes, my child was quarantined due to close contact.
No, my child has not tested positive or had to quarantine.
Clear selection
Will your child be participating in any extracurricular activities during the 2021-2022 school term? (Football, basketball, baseball, softball, volleyball, cheer, band, track, choir, etc. )
Yes
No
Clear selection
Are you in favor of child vaccinations?
Yes
No
Clear selection
Please feel free to express any questions or concerns in this space.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Western Line School District.
Report Abuse
Forms
