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
Email address *
Location *
Student Name *
Parent/Legal Guardian Contact (Name, Phone, etc) *
Weeks in Attendance (please complete multiple forms if daily needs change week to week)
Clear selection
Day (if needs are different day to day)
Clear selection
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.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Gymja Warrior, Inc. Report Abuse