Student Last Name, First Name - (List the names of each of your children that will attend this school).
Your answer
Parent or Guardian Name
Your answer
How many children do you have that will be in elementary (1st-5th grade) for the 2021-2022 School Year?
Choose
1
2
3
4
5 or more
If Caesar Rodney were allowed to open for in person instruction, five days a week for the 2021-2022 school year, would you send your child/children to school? *
Required
If the COVID-19 vaccination were available in school, would you allow your child/children (16 and above) to be vaccinated?
Thank you for your time and responses!
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