As we plan for the 2020-21 school year, we would like to better understand your willingness and concerns surrounding your child(ren)'s return to school.  We value your opinion and we understand that families may be in different places with their comfort level at this time.

Please know that we will continue to consider and plan accordingly for health and safety as additional guidelines and guidance are provided to us.  This will include, but not limited to, social distancing, the possibility of the use of masks by students and staff.  Health screenings by nurse or office personal.  We will provide you with updates on these considerations as more information becomes available to us from national, state, and local health and education officials and organizations. 

Please complete a separate form for each child in your family because your comfort level for one situation/setting might be different than another. 

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* 1. Student's Name

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* 2. Student's School

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* 3. Parent/Guardian:

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* 4. Phone:

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* 5. Email:

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* 6. Should we receive guidance from local health authorities that it is safe to return to school with cautionary measures in place, will your child be returning for the 2020-2021 school year?

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* 7. How comfortable do you feel about your child returning to school on a regular basis?

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* 8. Which of the following would make you feel more comfortable with your child returning to school or work?  Check all that apply.

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* 9. How comfortable are you with your child participating in a daily symptom check for school safety?

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* 10. What additional safety precautions would make you feel more comfortable about your child returning to school?

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* 11. Which of the following learning options, if available, would be your preference for your child?

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* 12. If remote learning is still required, please share your experience with remote learning during the spring semester of 2020.  Check all that apply.

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* 13. Which of the following best describes your household situation regarding wireless internet?

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* 14. Thank your completing this survey.  Please select "DONE" to submit your survey.

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