Smyrna School District

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SY21 Smyrna Reopening Survey for Parents

How many students in your home attend Smyrna Schools? *

Please list the name of each student. *

Provide the legal first and last name of the student. Separate student names by a comma.

Select the school(s) that each student will attend in the fall. *

Clayton Elementary School

North Smyrna Elementary School

Smyrna Elementary School

Sunnyside Elementary School

Clayton Intermediate School

John Bassett Moore

Smyrna Middle School

Smyrna High School

Required

Select the grades that each student will enter in the fall. *

Preschool

PreK

Required

Name of parent/legal guardian completing the survey. *

Please indicate your mailing address *

What is the best contact number? *

Please indicate your preference for school reopening in the fall. *

Hybrid learning model where students attend in-person part time with reduced class sizes and spend the remaining days in structured virtual learning model

Virtual learning model that includes regularly scheduled classes and graded assignments

By selecting the box below, I confirm that I am the legal guardian of the student(s) listed. I confirm that my choice applies for every child in my household and for the duration of Hybrid/Virtual instruction. I understand and agree that any instruction occurring in any Smyrna School District school will require my child to wear a mask. *

I agree

Required

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