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Catalina - Parent Questionnaire
This survey is to help me in compiling important information needed in planning our trip to Catalina. Thank you for your timely responses! ~Mrs. Franchino
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* Indicates required question
Parent Name
*
Your answer
Student's name
*
Your answer
Does you child have any dietary restrictions?
*
Yes
No
If yes, please explain (ex: Vegetarian, Vegan, Lactose-intolerant, Gluten-free, food allergies)
Your answer
Does your child take medication regularly?
*
Yes
No
If yes, please explain.
Your answer
Does your child use an inhaler?
*
Yes
No
Has your child been prescribed an EpiPen for allergies?
*
Yes
No
If yes, for what allergies?
Your answer
Does your child know how to swim?
*
Yes
No
Other info you need to let me know?
Your answer
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