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* 1. My children or teens would be interested in participating in online programming offered by Rodeph Shalom during summer 2020.

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* 2. I would like Rodeph Shalom online programming for children and teens during the summer to emphasize the following (select all that apply):

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* 3. The best day/time for my child to engage in Rodeph Shalom online programming would be (select all that apply):

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* 4. If Midweek Hebrew were offered during the summer at the usual day and time (Wednesdays between 4:00 and 6:00), my child (1st grade through 6th grade) would regularly participate.

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* 5. My child(ren) are currently in the following grades (select all that apply)

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* 6. I would be willing to pay a fee (approximately $100-200) for ten weeks of virtual programming over the summer to cover the cost of teaching staff.

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* 7. Please provide your name and preferred contact method (email or phone) if you would like to talk with Jennifer about potential summer programming at Rodeph Shalom for children and teens.

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