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Access to Internet/Devices - Parent Survey

Please complete the form below for each school-age (K - 12) child in your home.  If you have multiple children and only one device, please check yes for one child and no for any additional children.  

Building child attends:
Answer Required
Does your household have internet?
Answer Required
If no, why not?
Answer Required
Do you have cell phone service at your house?
Answer Required
Do you have a device (desktop, laptop, ipad, other tablet) for this child that can/could connect to the internet?
Answer Required
I would prefer:
Answer Required