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L.E.A.P. Program
1.
Does the L.E.A.P. program interest you?
Yes
No
If no, why?
2.
What grade will your child or children be in while in this program (as of Fall 2019)?
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Please indicate the gender of your child/children.
3.
What time works best to pick up your child/children from this program?
5:00 PM
5:30 PM
6:00 PM
Other (please specify)
4.
What are some activities your child/children would like to participate in?
Sports and Fitness
Science and Problem Solving
Outdoor Activities
Technology and Video Games
Reading
Arts and Crafts
Music
Homework and Tutoring
Any other activities? Please indicate
5.
The anticipated program fee will be $2- $3 an hour and between $100-$120 a month. Do you feel like this is a reasonable fee for this type of program?
Yes
No
If no, why?
6.
Would you need financial help to enroll your child/children in this program?
Yes
No
7.
Will your child/children need transportation to the Rec Center after school?
Yes
No
8.
Let us know if you have any additional comments or questions about our L.E.A.P program. Thank you!
Current Progress,
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