1.Town where your child(ren) attends school?

Pahrump

Amargosa

Beatty

Tonopah

Round Mountain 

2.How many children do you have between the ages of 5 and 11?

3.Grade your child(ren) are in?

K

1st

2nd

3rd

4th

5th

6th

7th

Prefer Not to Say 

4.Do you want your child(ren) to receive the COVID19 vaccine?

Yes

No