GymjaFIT student school time
For each 30 minute block please select if your child must be online (i.e. virtual classroom, 1:1 teacher meeting), if you would like them to have study time, or physical activity.  ANY BLANK ENTRIES we will assume they aren't required to be online or studying
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Email *
Location *
Student Name *
Parent/Legal Guardian Contact (Name, Phone, etc) *
Weeks in Attendance (please complete multiple forms if daily needs change week to week)
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Day (if needs are different day to day)
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School Block 1
Please enter TIME and REQUIREMENT.  Example: 8:40 - 9:30, online (or homework)
School Block 2
Please enter TIME and REQUIREMENT.  Example: 8:40 - 9:30, online (or homework)
School Block 3
Please enter TIME and REQUIREMENT.  Example: 8:40 - 9:30, online (or homework)
School Block 4
Please enter TIME and REQUIREMENT.  Example: 8:40 - 9:30, online (or homework)
School Block 5
Please enter TIME and REQUIREMENT.  Example: 8:40 - 9:30, online (or homework)
School Block 6
Please enter TIME and REQUIREMENT.  Example: 8:40 - 9:30, online (or homework)
School Block 7
Please enter TIME and REQUIREMENT.  Example: 8:40 - 9:30, online (or homework)
Any other specific online/homework requirements not addressed above?
A copy of your responses will be emailed to the address you provided.
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