Survey Regarding Before/After School Care

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Please note, the below survey does NOT serve as registration for before or after school care. This survey is intended ONLY to gather approximate numbers to plan staffing and locations for before and after care services.

Registration information for before and after care will be sent to families in the coming weeks.

Student Name(s)

We intend to use BEFORE SCHOOL CARE for our student(s) in the following grades (please check all that apply):

We intend to use AFTER SCHOOL CARE for our student(s) in the following grades (please check all that apply):

If you are planning to utilize AFTER SCHOOL CARE, approximately how long will your child remain in after care?

2:30-3:00

2:30-3:30

2:30-4:00

2:30-4:30

2:30-5:00

2:30-5:30

Other:

Clear selection

If planning to utilize the BEFORE SCHOOL CARE program, how frequently do you envision your child/ren attending?

1 day per week

2 days per week

3 days per week

4 days per week

5 days per week

Clear selection

If planning to utilize the AFTER SCHOOL CARE program, how frequently do you envision your child/ren attending?

1 day per week

2 days per week

3 days per week

4 days per week

5 days per week

Clear selection

Submit

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