JAY Camp (Parent Education)

This year we hosted our very first JAY CAMP for parents.  Outside professionals spoke with parents about topics they face everyday as parents including online safety and financial planning. We would like to continue to extend the opportunity to parents  to grow as parents and adults and to provide a system of support to families.  Please take some time to fill out this simple form.  We are seeking input from you about parenting and "adulting" topics you would be interested in learning more about.   JAY Camps would last anywhere from 1 to 2 hours.  In most cases a family meal and childcare will be provided.

All responses are confidential as we are not automatically collecting email or personal information through the form. You may chose to provide that information but it is not required.   If you chose not to provide that information please skip to question #3. 
1. First and Last Name (Optional).  If you wish not to provide this information, skip to question #3. 
2. Email address (Optional)  If you wish not to provide this information, skip to question #3.
3. On a scale of 1 to 5, how likely would you be to attend a JAY Camp for parents?  1 being not likely to attend, 5 being very likely to attend.
4. I would be more likely to attend if childcare was provided during the event.
Clear selection
5. I would be more likely to attend if a free meal for my family was provided during the event.
6. What night of the week would you be most likely to attend.  Select all that apply
7. What start time would you most likely be able to attend?
8. Please select topics of interest for yourself, spouse, or significant other.  Select all that apply
9. Please list any topics that weren't mentioned above that you have interest in learning more about.
10. If you are associated with any of the topics above through your profession or business and would like to be involved in facilitating a session please include your name, topic of expertise and your preferred contact method (phone #, text, email, etc) 
11. If you are a business owner, or part of an organization that would like to sponsor and provide the meal served to families during one of the JAY Camps, please include your name, and you preferred contact method (phone #, text, email, etc). 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Clever R-5 School District. Report Abuse