Question Title

* 1. Parent/ Guardian Name

Question Title

* 2. Parent/Guardian Email

Question Title

* 3. Home Address

Question Title

* 4. Preferred Phone Number

Question Title

* 5. List the names and grades (2020-2021) of students attending Lybrook:

Question Title

* 6. Is your child(ren) or anyone in your household considered high risk? If yes, JMSD will contact you to make a safety health plan.

Select this link for information about who is high risk https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fneed-extra-precautions%2Fgroups-at-higher-risk.html

Question Title

* 7. Which school reentry plan makes you most comfortable?

Question Title

* 8. JMSD will provide laptops for student use during the school year. Do you have internet access at your home or other place?

Question Title

* 9. As far as transportation

Question Title

* 10. Any additional comments?

T