Countdown to Kindergarten Family Interest Survey

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Thank you for your interest in Countdown to Kindergarten/Countdown to 4K. Please complete this survey to begin the process of signing up for summer 2024 Countdown programs.

Please note: The data collected in this survey will not be published publicly. All personal information will be kept confidential.

What grade will your child be entering this school year? *

Parent/Caregiver Name *

Parent/Caregiver Email *

Student/Child Name *

Student/Child Birth Date *

YYYY

Which Countdown model(s) would you be interested in participating in this summer? Please note that while you may make multiple selections, we will only enroll you in one model based on the additional eligibility criteria you indicate later in the survey. *

Parent-Led Model

Summer Camp Model

Personalized Model

Required

What school district is your child's current/future school in? *

York (York School District 1)

Clover (York School District 2)

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