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* 1. Has your child attended the Down Syndrome Research Foundation (DSRF) Summer School Program for children with DS and other developmental disabilities in the past?

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* 2. My child is:

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* 3. We live in:

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* 4. If your child has not participated in the DSRF summer school in the past please indicate if any of the following reasons apply:

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* 5. If considering the DSRF summer school for your child next summer, please prioritize the following areas of program content by ranking in order of importance to your family (1 is the most important and 6 is least important):

  1 2 3 4 5 6
Cooking and Nutrition
Drama/Dance
Numeracy
Reading
Sport
Writing

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* 6. Please let us know if there is additional content you would like to see in the summer school program:

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* 7. Other comments or suggestions you would like to share:

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