After School Program Pacific Top Team After School Care Survey We are looking at adding after school care starting in September. But we know to know if the need and interest is there! Please fill out the survey below to give us a better idea of the direction we need to go in! OK * 1. If Pacific Top Team Kelowna had an after school program would you consider enrolling your child? This would look like:* Bus pickup* Jiu-Jitsu Class (between 2:30 - 6:00)* Break time YES! Yes, but wouldn't need bus pickup Not interested - but I can pass your information onto someone who is! OK * 2. What days would you need after school care for your child? (Check all that apply) Monday Tuesday Wednesday Thursday Friday OK * 3. If you are interested in our Pacific Top Team after school program, what school would your child need pickup from? OK * 4. What time does your child's school get out? OK * 5. What are you currently paying for after school care? OK * 6. What time will you pick up your child? 3:00pm 4:00pm 5:00pm 5:30pm 6:00pm OK * 7. How old is your child? (Check all that apply) Ages 3-4 (Tiny Champions) Ages 5-7 (Future Champions) Ages 8-11 (Junior Champions) Ages 12-15 (Teen Champions) OK * 8. Additional Feedback (check all that apply) I would be interested if you offered a program over spring break I would be interested if you offered a program over the summer break I would be willing to pay a little extra to have a healthy after school snack provided for my child OK * 9. If you are interested in enrolling your child or children for after school care beginning September 2018, please leave your contact information below Name Email Address Phone Number OK * 10. Do you have any final questions or comments for us? OK DONE