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Interest Survey
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1.
Name
(Required.)
*
2.
Phone Number
(Required.)
*
3.
Email
(Required.)
*
4.
Age of Child(ren)
(Required.)
*
5.
Child’s Interest
(Required.)
*
6.
What sorts of programs would you like to see?
(Required.)
*
7.
Preferred Scheduling ( weekly excursions will be held once a week)
(Required.)
Monday, Wednesday, Friday
Tuesday, Thursday
Monday - Friday
Other (please specify)
*
8.
Programs will run for 3-4 hours. Parents are welcome to stay during the duration of the programming. Separate work areas will be structured during base programming. Parents are welcomed and encouraged to attend weekly excursions. What time of day best fits your availability?
(Required.)
Morning
Afternoon
Evening
I do not have a preference
Other (please specify)
9.
Are there any questions, comments, concerns or recommendations you have?
*
10.
Are you interested in shuttle transportation services being provided to and from excursion locations?
(Required.)
Yes
No, I will provide transportation for my child to and from excursion sites.