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Parent/Guardian Name
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Phone Number
Your answer
Email Address
Your answer
Parent/Guardian Name (second)
Your answer
Phone Number (second)
Your answer
Email Address (second)
Your answer
Zip Code
Your answer
Child's Name (1)
Your answer
Child's Classroom (1)
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Child's Name (2)
Your answer
Child's Classroom (2)
Your answer
Child's Name (3)
Your answer
Child's Classroom (3)
Your answer
Are you ready for your child to return to Cornerstone Center on Monday June 15, 2020?
*
Yes
No
Maybe
Other:
If you answered anything but yes about returning on June 15, when do you think you will be ready to send your child to school again? What would need to be in place for you to feel safe about sending your child?
Your answer
If Cornerstone has to limit its hours in order to meet safety guidelines, please choose your preferred hours.
*
6:30am-3:30pm
7:30am-4:30pm
8am-5pm
Option 4
Option 5
Option 6
Option 7
Option 8
Option 9
Option 10
Option 11
Comments about limited hours:
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Has anyone in your family tested positive for COVID-19? If yes, who?
*
Your answer
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