Thank you for taking the time to provide us with feedback on this new program!  When you are ready to begin click OK. When you are finished click DONE at the bottom of the survey to submit your responses.

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* 1. Would you be interested in any of the following programs (check any or all programs that apply)?

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* 2. How many of your children would potentially participate in each program?

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* 3. During which mass time would you prefer child care be offered on the 1st and 3rd Sunday of each month?

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* 4. Are you a current Kid Church participant?

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* 5. Feel free to provide us with any comments, questions or suggestions.

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* 6. If you are willing to be contacted in the event we have follow-up questions to your responses, please provide your name and best means to contact you (phone # or email address).

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