2020-2021 School Year Survey for Parents and Guardians for Grades Pre-K through 5.

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The Department of Elementary and Secondary Education has changed their regulations and guidance for schools so that students across Massachusetts can return to school in person 5 days a week. Currently all of our classrooms at the PK- Grade 5 level have students spaced 6 feet apart. Under the new regulations, we may need to have some classrooms with spacing that is less than 6 feet if more families choose to return to full in person schooling. We are asking parents/guardians to make a commitment from now until the end of the school year, so that we can plan for spacing and staffing.

If you feel that you need more information to make your decision, then please visit www.qrsd.org.

**PLEASE COMPLETE A SEPARATE SURVEY FOR EACH STUDENT IN YOUR HOUSEHOLD.**

Email *

Last name of student *

First name of student *

Full street address, including town, where this child resides *

Please provide best phone number to contact you. *

Select the grade level that your child is currently in for this school year. *

Pre-K

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Select the option that you are committing your child to for the school year 2020-2021. *

IN-PERSON OPTION: students attend school for in-person instruction with 3 foot to 6-foot physical distancing, the wearing of a face mask, and following all health and safety guidelines in place throughout the school day.

FULL REMOTE OPTION: Is a model of teaching in which students will access curriculum or other educational resources outside of their typical classroom environment. It requires the leveraging of technology to facilitate learning opportunities. Parents must commit to oversight of their child's progress in the program.

If you chose the in-person option, do you commit to using the district's bussing for the remainder of the school year, which requires mask wearing and social distancing for the duration of the bus route? *

Yes, I currently use and will continue to use the district's bussing for the remainder of the school year.

No, I will drive my child(ren) to and from school each day.

Not Applicable because my student will be fully remote or has another plan.

If you choose to participate in in-person learning will you be participating in the following: (Check all that apply) *

School breakfast

School lunch

None

Required

If you choose to participate in full remote learning lunch pick up with be available on Mondays only at the Quabbin Middle School/High School building. You will receive 5 lunches & 5 breakfasts. Will you participate? *

Yes

Send me a copy of my responses.

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