Fairfield Community Schools
Fairfield Community Schools is conducting a needs assessment survey for a school aged child care program. Specifically, we want to assess the need for before school care and after school care within our school district. This organized, supervised school age childcare program is sponsored by the Boys and Girls Club and could offer activities including but not limited to homework help/tutoring, arts/crafts, reading, free play, activity exercise or community service. We appreciate your input!
Email address *
How often might you use a program like this? *
Frequently
Occasionally
Never
On weekdays - How many days?
During school in-service and parent/teacher days
During school holidays
During summer months
What hours would you need to have a school age program operate? Please indicate time of arrival (drop off before school) and time of departure (pick up after school). *
Your answer
What is the most you could pay per week for each child for morning OR afternoon care only? *
What is the most you could pay per week for each child for morning AND afternoon care? *
Additional Information
We would appreciate additional information about you and your family. This is not required, but is helpful in our needs assessment.
What is your household structure?
Please indicate how many children you have in each of the following grade levels living in your home. (Pre-K, Kindergarten, Grade 1, Grade 2, Grade 3, Grade 4, Grade 5, Grade 6, Junior high, Highschool)
Your answer
Please indicate which elementary school you would prefer as a location for KidsCare.
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