1.My child has internet access through a device.

Yes

No

2.I do have wireless internet access at home for my child.

Yes

No

*3.I have a device for my child to use to access online curriculum and instruction. This includes a tablet, cell phone, or computer.(Required.)

Yes

No

4.If I selected no, that my child does not have a device to access online instruction, please list your children’s names, grade levels, a contact name, and phone number for the school to contact you.

*5.I would like my child to receive breakfast and lunch.(Required.)

Yes

No

6.If yes, you would like your child or children to receive breakfast and lunch, please provide the total number of children that will be served.