Childcare Services for General Council Meeting -(this survey does not guarantee that services will be offered, this survey is being used as a resource tool to assess the need of the Tribal Membership)

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* 1. Will you be attending the March 7th, General Council Meeting

Yes

No

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* 2. Are you interested in receiving childcare services while attending the meeting?

YES

NO

Does not apply, I do not have minors in my care

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* 3. Are your minors under the age of 13?

Yes

No

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* 4. What are the ages of the minors for which you are seeking childcare services for (must be under 13)?

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* 5. Do any of the minors for which you are seeking childcare services for have special needs that the facility should be made aware of?

Yes

No

Other (please specify)

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* 6. Do any of the minors for which you are seeking childcare services for have any dietary restrictions the facility should be aware of?

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* 7. Is there any additional information we need to know regarding the minors for which you are seeking care for?