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* 1. What is your name?

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* 2. What is your child/rens name?

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* 3. Does your family have access to the following devices?

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* 4. Please provide a rating of your family's access to the internet

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* 5. Do you work in an occupation that could be considered an essential service?

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* 6. If you answered yes to number 5, and are not able to find a suitable, safe alternative, do you require essential services Child Care? 

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* 7. Would you like your children to access to our breakfast and lunch programs through delivery?

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* 8. Do you have any comments or information to assist in our planning? 

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