Summer "Opt In" Form for Grades 2-5

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Untitled form

Send

Untitled form

Questions

Responses

Section 1 of 1

Please enter your name.

Question

Question Type

Answer key

(0 points)

Required

Please enter your e-mail address.

Question

Question Type

Answer key

(0 points)

Required

Please enter your child's name.

Question

Question Type

Answer key

(0 points)

Required

Please enter your child's e-mail address (if available).

Question

Question Type

Answer key

(0 points)

Required

What school is your child in?

Question

Question Type

oradd "Other"

Answer key

(0 points)

Required

What grade is your child currently in?

Question

Question Type

oradd "Other"

Answer key

(0 points)

Required

Please check the box below to opt-in to having your child take their device home.

Question

Question Type

oradd "Other"

Answer key

(0 points)

Required

Summary

Individual

Not accepting responses

Accepting responses

Message for respondents

This form is no longer accepting responses

Insights

Total points distribution

Loading responses...