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* 1. My child has internet access through a device.

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* 2. I do have wireless internet access at home for my child.

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* 3. I have a device for my child to use to access online curriculum and instruction. This includes a tablet, cell phone, or computer.

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* 4. If I selected no, that my child does not have a device to access online instruction, please list your children’s names, grade levels, a contact name, and phone number for the school to contact you.

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* 5. I would like my child to receive breakfast and lunch.

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* 6. If yes, you would like your child or children to receive breakfast and lunch, please provide the total number of children that will be served.

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