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Home
Programs
Parent Corner
Calendar
Interest Form
Teach or Lead
Memberships
FAQ
Contact
Community Interest Form
Name:
Phone:
Email:
1. What type of environment does your child prefer?
A clear schedule and structured activities
A mix of structure and free choice
Mostly open-ended and flexible activities
It depends on the activity or the day
We are not sure yet
2. How would you prefer activities to be scheduled?
The same activities offered consistently throughout the month
A recurring weekly schedule
One-time workshops and special events
A combination of recurring and one-time activities
3. What activities, clubs, classes, or topics would your family like Root to Rise to offer?
4. Which days generally work best for your family?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
5. Which times generally work best?
Morning
Early Afternoon
Late Afternoon
Evening
Weekend Daytime
Weekend Evening
6. What are the ages of the children in your household?
7. Do you or your child have a skill, profession, hobby, or interest you might be willing to teach or lead?
Yes
Maybe
Not at this time
8. What would you be interested in teaching or leading?
9. What format would you prefer to lead?
One-time activity
Short workshop series
Recurring club or class
Parent discussion or support group
Career or skill demonstration
Community service activity
Open to different options
10. Which age groups would the activity be appropriate for?
Early elementary
Upper elementary
Middle school
High school
Parents and caregivers
Multiple age groups
11. What parent resources or support would be most useful to your family?
12. Is there anything else you would like us to know?
Thank you for filling out the Community Interest Form. Your input is valued.
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