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* 1. What is your name? (Parent first and last)

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* 2. What is your child's name?

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* 3. What school does your child attend?

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* 4. What After School Program Theme(s) did your child participate in?

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* 5. What is the primary reason that your child signed up for the program?

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* 6. If available, we would like to participate the next EDMO360 program that is offered at our school.

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* 7. After their participation in this program, my child's enthusiasm for the topic has:

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* 8. After their participation in this program, my child's confidence in the topic has:

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* 9. The staff are fun, enthusiastic, and positive role models for my child.

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* 10. My child taught a family member something they learned during the program.

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* 11. I believe that the hands-on learning my child did in this program will have school year benefits.

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* 12. I find the campedmo.org website (check all that apply):

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* 13. I found Mo's Treehouse on campedmo.org: (please check all that apply)

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* 14. My child's favorite part of the After School Program was:

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* 15. Some parent and caregiver comments may be used in future program or organizational literature. We rarely use names, but in the event we do can we print your first name and your child's first name?

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* 16. My suggestions for improving the program are:

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* 17. Are you familiar with CAMP EDMO Summer Programs?

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* 18. I am a member of the following groups:

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* 19. Please share any additional feedback or comments.

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