Would your child come daily (Monday-Friday) or a few days per week?

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* 1. Would your child come daily (Monday-Friday) or a few days per week?

Would your child attend on Saturdays? 

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* 2. Would your child attend on Saturdays? 

What hours best fit your family needs on Monday-Friday?

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* 3. What hours best fit your family needs on Monday-Friday?

If your child is bused from school, will you have transportation home Monday-Friday?

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* 4. If your child is bused from school, will you have transportation home Monday-Friday?

Would you have transportation to the club if your child participated on Saturday?

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* 5. Would you have transportation to the club if your child participated on Saturday?

Would you like to have a hot meal provided for your child prior to going home?

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* 6. Would you like to have a hot meal provided for your child prior to going home?

Would it be beneficial to your family if the Boys & Girls Club provided homework help?

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* 7. Would it be beneficial to your family if the Boys & Girls Club provided homework help?

How many children from your family (ages 5-18) would participate?

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* 8. How many children from your family (ages 5-18) would participate?

If the Boys & Girls Club of the Mountain Empire opened a unit in Lebanon, would you make a commitment to send your child/children in the fall of 2017?

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* 9. If the Boys & Girls Club of the Mountain Empire opened a unit in Lebanon, would you make a commitment to send your child/children in the fall of 2017?

What questions or concerns would you like to have addressed?

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* 10. What questions or concerns would you like to have addressed?

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