Dear Parents,

Thank you for your time to provide us with information about the activities your child participates in after school.  The reason we are asking for this information is to learn if a need exists for a low-cost or a no-cost after school enrichment program.  The information that you provide will help us complete an application for a 21st Century Community Learning Centers (21CCLC) after school enrichment program grant.

It will take about 10 minutes to complete the survey.  The survey is anonymous, and the information will be reported as group totals for each question. 

Thank you for your time to complete the survey.

Question Title

* 1. I would like to complete the survey.