Please complete the following form for EACH child that attends CCPS.

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* 1. Parent First Name

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* 2. Parent Last Name

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* 3. Student First Name

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* 4. Student Last Name

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* 5. What school does your child attend?

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* 6. Grade

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* 7. Knowing that social distancing will not be feasible on a school bus, will your child/children ride the bus?

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* 8. If Catoosa County is in the “Low/No Spread” category and the school system can open in full traditional instruction, with CCPS guidelines, will your child return to school?

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* 9. If Catoosa County is in the “Minimal/Moderate” category and the school system can open with a hybrid model, with CCPS guidelines, will your child return to school?

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* 10. Will your child eat breakfast at school?

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