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Zoom Participation Form
Please complete if you would like your child to participate in a Zoom therapy session. If your child already participates in Zoom with the school Speech-Language Pathologist, there is no need to fill out this form.
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Email
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Your email
Your Name:
Your answer
Child's Name:
Your answer
Would you like your child to participate in Zoom meetings with the Johnstown School District Speech/Language Pathologist?
Yes
No
Clear selection
If no, would you like any resources for your child to work on at home?
Yes
No
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If yes, please let me know a date/time that would work for you to meet (I will be in contact with you soon in order to get your permission to work with your child and to schedule the zoom session):
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