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After School Survey
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* Indicates required question
Email
*
Your email
Parent/Guardian Name
*
Your answer
Would you be interested in a fee paid after school program for your elementary child(ren)?
Yes
No
Clear selection
How many days per week would you use this program?
1-2 Days
4-5 Days
Early Out Days Only
Drop In
Clear selection
Which fee schedule would work best for you (Estimated fees would be $5-10/hr per child)
Hourly
Daily
Weekly
Clear selection
How many children from your household would you plan to take part in the program?
1
2
3
4
5
Clear selection
How late would you need for the program to be open?
5:00 pm
5:30 pm
6:00 pm
Clear selection
Please share any questions you have about this possible program in the space below.
Your answer
Submit
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