Before/After School Program Student Interest Survey
Please respond to the survey by Friday, September 10th. Parents/Guardians will be responsible for arranging transportation to school in the morning and home in the afternoon. Bussing is not available.

Should you have any questions, please email jburkitt@afcschools.net or call (815) 456-2325.
Student's First & Last Name *
Student's Grade *
Student's Teacher *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
What time(s) are you interested and/or available to having your child attend? *
Which academic area(s) do you feel your child needs additional support? *
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