MSAD 4 Options for Opening School
Please fill this out and let us know your choices for returning to school. Please include all of your children. Let us know if they will be learning at school or remotely at home. If they are coming to school, please let us know if they will be riding the school bus. If possible, we are asking families to transport as we need to limit the number of students at one time.

If you are unable to complete this survey online, please call the office to request a paper copy or fill the survey out over the phone (PCES - 876-4301 - PCSS - 876-4625).
First and Last name of person completing this form *
Relationship to student(s) *
Contact Information - Best Phone Number *
Contact Information - Best Email *
Student 1 - First and Last Name *
Learning Choice - for Student 1 *
Student 2 - First and Last Name
Learning Choice - for Student 2
Clear selection
Student 3 - First and Last Name
Learning Choice - for Student 3
Clear selection
Student 4 - First and Last Name
Learning Choice - for Student 4
Clear selection
Student 5 - First and Last Name
Learning Choice - for Student 5
Clear selection
Transportation *
I have other questions:
Please have someone call or email me to discuss this further.
Clear selection
Submit
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This form was created inside of Maine School Administrative District #4. Report Abuse