Childcare Participation Questionnaire

The Boys & Girls Club of Greater Nashua is re-opening on a limited basis as we follow CDC and State safety guidelines.  There will not be a drop-in program. Every child must be pre-registered, whether you are a current member or not.

At this time we will be serving youth ages 5-8 years of age in small groups of 8-9 kids with adult staff.  Hours will be 9am-5:30pm. 

Please help us determine your needs by filling in this brief questionnaire.

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* 1. What is your phone number?

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* 2. What is your email?

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* 3. What grade is your child entering this coming school year?

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* 4. How many Children do you wish to enroll?

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* 5. Please select the age of the children that you would like to enroll?

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* 6. What are the names of your children that you wish to enroll?

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* 7. It is a requirement for all participants to attend at least three (3) days per week to maintain their slot. Is this something that your family is able to commit to?

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* 8. Please note that our hours of operation will be from 9:00am-6:00pm. Members are subject to a temperature check and health questionnaire before parents may leave and child gains access to our facility.

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* 9. If not selected, are you interested in being put on a waiting list?

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* 10. If you are not interested at this time, but need childcare, please let us know why you are not signing up:

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