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* 1. First and Last Name

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* 2. Email

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* 3. If school opens in September  2021, my intentions are

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* 4. Would you be willing to entertain any form of virtual learning?

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* 5. Number of children this applies to and age

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* 6. What precautions would you like to be in place for your children to participate in any school activities? For example: Teacher, student wearing masks, Teaching / classrooms outdoors only, Social distancing in classroom, Temperature check, hand sanitizer - all the above

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* 7. Would you be willing to participate (and help organize) some of our informal outings to keep the Czech and Slovak community alive? (Beach day in June, scavenger hunt, camping, hiking, summer picnic…)?

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* 8. Please add any comments, notes for us to consider in our decision making

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