Reopening of Schools: Parent Questionnaire

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Email *

My child's name is: *

My child's grade is: *

Preschool

Entering Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Please select your preference for school attendance. *

My child will attend school remotely.

My child will attend school both on-campus and remotely. (*Familes will be assigned the same on-campus days.)

Given the opportunity to attend school fully on-campus under normal operations, will you send your child to school? *

Yes

Unsure at this time.

A hybrid school option, will entail a "WIN: What I Need" Day. Students may be invited to a WIN session (1x/wk) for 4-6 weeks or on an occasional basis for intervention or enrichment. A weekly session may last apx. 1-3 hours. Will your child attend a session(s) and will you provide transportation to the school? *

Yes

Maybe

Will your child take part in the school breakfast and/or lunch program? *

Yes, my child will take part in the school breakfast and/or lunch on-campus days only.

Yes, my child will take part in the school breakfast and/or lunch remote days only.

Yes, my child will take part in both on-campus and remote days.

No, my child will NOT take part in the school breakfast and/or lunch program.

Other:

Will your child ride the school bus "on-campus" days? *

Yes, in the morning only.

Yes, in the afternoon only.

Yes, both AM and PM.

No transportation needed.

Please check which of the following applies for a protective mask(s) for your child. *

I will provide my child with a mask to wear to school.

My child will require a school provided mask.

Undecided at this time.

Thank you for sharing your child's information. Please complete an additional form for any other children you may have in the MSD. We appreciate your time.

Send me a copy of my responses.

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