6th & 7th Grade: Hybrid to 4 Days In-Person

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Brushton-Moira Central School is collecting data to see if we can provide more live instruction for our 6th and 7th-grade students. We would like to do in-person four days a week: Mon, Tues, Thurs, and Friday.

Email *

Name of Parent/Guardian Completing Form: *

Your Primary Phone Number: *

Grade in School *

6th

7th

Student Last Name *

Student First Name *

Are you interested in having your student come to school four days a week?

Yes

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Transportation *

Yes, for both a.m. and p.m. bus run

No, for both a.m. and p.m. bus run

Yes, for only a.m. bus run

Yes, for only p.m. bus run

No, dropping off and picking up

Walker

Will your student need a mask provided by the District? *

Yes

Any other thoughts you would like for the school to know?

A copy of your responses will be emailed to the address you provided.

Submit

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