21st CCLC Parent Questionnaire
Please take a moment and answer the following questions.  The information gathered in this questionnaire will be beneficial in improving the 21st CCLC After-School and Summer Program.  We ask that you complete a new form for each child.
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What school does your child attend? *
Do you need transportation for your child at the end of the program day? *
Would you like your child to receive help with homework? *
Does your child need help in mathematics? *
Does your child need help in reading? *
Will you be willing to attend parental programs? *
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This form was created inside of Pointe Coupee Parish School System. Report Abuse