COVID-19 Survey (McLouth Families)
We greatly appreciate you completing this survey. The data (numbers only, not any names) will be provided to the county health department to request a waiver for making up missed days. The food service information will assist us in seeking a waiver to provide food to assist families during these days of cancellation. Keep in mind, to pick up grab-n-go lunches, we must have students visible and pick up times will be 11:30 AM-12:30PM. Adults are unable to collect the food without children present due to federal guidelines. CHILDREN AGE 1-18 WILL RECEIVE A BREAKFAST AND LUNCH if they are signed up for the program. Thank you for your time!
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What is your last name? *
What is your first name? *
Please list your child(ren)'s first, last name and grade level. (For example: Marge Smith- PreK, Hank Jones- 3rd, Sue Jones- 6th, Mel Jones- 10th) *
During spring break, did you travel outside of  Jefferson County? *
Did you travel outside of the ______________? *
Where did you travel?
Will your children participate in grab-n-go breakfasts and lunches? This will begin on Wednesday and run Mondays through Fridays. *
Do you have internet access for your children if this closure lasts for a longer period of time? *
Do you have a device at home for your child to access the internet (i.e iPad, computer, phone)? *
Please provide the best contact phone number if we need to contact your family over the next few days (weeks) as we work through COVID-19. *
Please provide the best email if we need to contact your family over the next few days (weeks) as we work through COVID-19. *
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