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Survey

Hi Parents! We are developing a summer camp for toddlers (2 – 4) and want to find out interest. If you have a child in that age range (or a different age!) and are interested in a summer camp, please fill out the survey below.

Name(required)

Email(required)

phone

As a caregiver, I'm interested in:

drop-off summer camp participating with my child

Number of Children Interested

1 2 3 4 5

Age of Child (Choose all that apply)

24 - 35 months 3 - 4 years 4 - 5 years

Dates (Choose all that apply)

June 6 - 10 June 13 - 17 June 20-24 July 11 - 15 July 18 - 22 July 25 - 29

Times available (choose all that apply)

8:00am - 9:30am (90mins) 8:00am - 10:00am (2 hours) 9:30am - 11:00am (90mins) 10:00am - 11:30am (90mins) 10:00am - 12:00pm (2 hours) 11:30am - 1:00pm (90 mins) 12:00pm - 1:30pm (90mins) 1:30pm - 3:00pm (90mins)

I'm interested in summer camp, but don't see my child's age listed. What is the age of your child:

I have a 10 - 18 year-old interested in leadership, who would like to assist with a summer camp. Name, Age, Contact:

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