Emergency Preparedness Survey
Please complete the following questions to assist us in properly preparing in the case of an emergency school closure. One survey per household.
Please confirm how you received the Test School-Wide Emergency Alert. (Select all that apply.)
I did NOT receive the Test School-Wide Emergency Alert
Student(s) Full Name(s)
Parent Full Name
Parent Phone Number
Primary Emergency Contact Name
Primary Emergency Contact Number
My child has access to a computer with internet service outside of school. This does NOT include smartphones.
In the event of an emergency closing, I would be interested in having my child/ren receive breakfast and lunch at the school.
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This form was created inside of Independence Charter School West.