Remote Learning Survey
Mrs. Vatrano’s Kindergarten Class
Student Name
First Name
Last Name
Parent Name
First Name
Last Name
Best contact Email
example@example.com
Best Contact Phone Number
-
Area Code
Phone Number
Have you joined our Class Tag account yet?
Yes
No, please resend the invitation
Other
Do you/your child have home internet?
Yes
No
Have you picked up your child’s school iPad?
Yes
No, but I would like to.
No, and I would prefer not to have it at my home
Do you have access to a printer?
Yes
No
If I offer online lessons/enrichment would you be able to help your child access it?
Yes
No
Other
Would you prefer I deliver printed work packets to your door instead of online work?
Yes
No
If so, please provide me with your address (I will contact you before moving forward with delivering anything.)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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