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* 1. Do you believe that an out of school time program is needed at your school

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* 2. Would you send your child to an out of school program?

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* 3. How would your child be picked up from the out of school time program by:

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* 4. What type of activities would you like to see in an out of school time
program?

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* 5. Would you attend parent education workshops?

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* 6. What type of parent education workshops would you attend

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* 7. What other workshops would you like to attend

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* 8. Would you like to volunteer?

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* 9. Would you send your child to a summer program if it was offered ?

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* 10. If you at interested in being placed in the drawing for the incentive please fill the form out below.

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