Transportation 2020-2021 Survey

Please fill out the survey below to the best of your ability. Completing this survey does not guarantee your Member(s) access to after-school transportation to the Boys & Girls Club. Space is limited and we will provide a confirmation email.

Question Title

* 1. Name of child & school your Member(s) need transportation from (please list Member name and school for each)

Name of child & school

Name of child & school

Name of child & school

Name of child & school

Name of child & school

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* 2. What days will your Member(s) need transportation after-school to the Club? Transportation is currently offered Monday - Thursday. (Please list all days by Member)

Member name & days of the week needed

Member name & days of the week needed

Member name & days of the week needed

Member name & days of the week needed

Member name & days of the week needed

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* 3. Does your Member plan to come to the Club on Fridays? (Open 7:15 a.m. - 6:00 p.m.)

Yes

No

Unsure

Not applicable

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* 4. Parent(s)/Guardian(s) name & phone number(s)

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* 5. Parent email for transportation confirmation

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* 6. I understand completing this survey does not guarantee transportation.

Yes

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* 7. I understand my Member(s) will be screened prior to boarding the bus and they may not be allowed to board if symptoms are present. Parent would be responsible for proving transportation.

Yes