JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
COVID-19 & Contact Update Survey
Dear EHSMB Families: Students, Parents, Staff, & Boosters - current as well as new - please take a brief survey on the potential return to marching band activity. Thank you in advance!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Type of email
*
Student
Parent/Guardian
Staff
Booster
Other:
Who is submitting this survey? *Please let us know. We are interested in everyone’s opinion, but also realize some people may not have access, or other circumstances that require someone else to submit for them.
*
Your answer
Alternate email address
Your answer
Type of email (alternate)
Student
Parent/Guardian
Staff
Booster
Other:
Clear selection
Last Name
*
Your answer
First Name
*
Your answer
Grade (Fall 2020)
7
8
9
10
11
12
Other:
Clear selection
School
EHS
NPCA
EMS
SVMS
WMS
Other:
Clear selection
Phone (include area code)
*
Your answer
Type of phone (check all that apply)
*
Student
Parent/Guardian
Staff
Booster
Mobile
Landline
Other:
Required
Alternate Phone (include area code)
Your answer
Type of alternate phone (check all that apply)
Student
Parent/Guardian
Staff
Booster
Mobile
Landline
Other:
Address
*
Your answer
Parent/Guardian Name(s)
Your answer
Are you comfortable participating in marching band activities as long as COVID-19 guidelines such as a health and safety plan are implemented (for example, social distancing, etc...).
*
Yes
No
Maybe
Other:
Contact info
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Erie All-City Marching Band.
Report Abuse
Forms
