Re-opening School Survey 2021-2022

PURPOSE: The purpose of this survey is to collect information regarding emergency contact information, transportation, and technology needs for the 2021-2022 school year. This information will help with our planning when returning to school in the fall.

1. Student Information:

Space Cell	First Name	Last Name	Grade Level in Sept. 2021
Student #1:	Student #1: : First Name	Student #1: : Last Name	Student #1: : Grade Level in Sept. 2021
Student #2:	Student #2: : First Name	Student #2: : Last Name	Student #2: : Grade Level in Sept. 2021
Student #3:	Student #3: : First Name	Student #3: : Last Name	Student #3: : Grade Level in Sept. 2021
Student #4:	Student #4: : First Name	Student #4: : Last Name	Student #4: : Grade Level in Sept. 2021
Student #5:	Student #5: : First Name	Student #5: : Last Name	Student #5: : Grade Level in Sept. 2021
Student #6:	Student #6: : First Name	Student #6: : Last Name	Student #6: : Grade Level in Sept. 2021

2. Parent/Guardian #1:

Space Cell	First Name	Last Name	Relationship to Student	Phone Number	email address
Information:	Information: : First Name	Information: : Last Name	Information: : Relationship to Student	Information: : Phone Number	Information: : email address

3. Parent/Guardian #2:

Space Cell	First Name	Last Name	Relationship to Student	Phone Number	email address
Information:	Information: : First Name	Information: : Last Name	Information: : Relationship to Student	Information: : Phone Number	Information: : email address

Re-opening School Survey 2021-2022

Summary