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 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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