Please fill out this survey so I can form playgroups that are best suited for you and your child(ren). Either bring it to me at the General Meeting or email it to me at playgroup@midlandnewcomers.org. Thanks! -- Your Playgroup Coordinator
Name:
Address:
City:
Email:
Zip Code:
Phone #:
Cell Phone #:
List all of your children's names and birth dates (please indicate which of the children you would like placed in a playgroup with an asterisk* by their name(s))
What days are you available for playgroup? Monday
Tuesday
Wednesday
Thursday
Friday
What time(s) work best for you?
9:00 - 10:30
9:30 - 11:00
10:00 - 11:30
Other:
Do you prefer meeting:
Weekly
Every Two Weeks
Would you like to meet:
During the school year only
During the school year and throughout the summer
If I didn't have a playgroup, I would:
Go crazy! I need this adult interaction
Just attend one of my child's other activities
Stay home and play with my child
Any additional comments are welcome: