1. Survey for La Clé d'la Baie en Huronie

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* 1. How many children do you have?

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* 2. Do they participate in activities outside of school?

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* 3. Please note the age of each of your children.

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* 4. Please note the sex of your children.

  Child 1 Child 2 Child 3 Child 4
M
F

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* 5. Please check which school your child attends.

  Child 1 Child 2 Child 3 Child 4
Frère-André
La Source
Marguerite Bourgeois
Saint-Joseph
Saint-Louis
Sainte-Croix
Samuel De Champlain
école secondaire de Barrie
Le Caron
Nouvelle-Alliance

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* 6. Please check which childcare or before and after school facility your child attends.

  Child 1 Child 2 Child 3 Child 4
La Source
Marguerite Bourgeois
Samuel de Champlain
St. Louis
St. Joseph

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* 7. Please check which sports activities could interest you.

  Child 1 Child 2 Child 3 Child 4
Basketball
Soccer
Volleyball
Martial arts
Cheerleading
Baseball
Flag football

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* 8. Please check which cultural activities could interest you.

  Child 1 Child 2 Child 3 Child 4
Choir
Singing (voice)
Guitar
Piano

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* 9. Please check which academic activities could interest you.

  Child 1 Child 2 Child 3 Child 4
Tutoring
Help with homework

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* 10. Other comments:

T