Playgroup Survey


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 teachyouone@charter.net or send it by clicking the "submit" button at the
bottom of this form.  Thanks!   --  Becca Tointon

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))

 
 
Please check your preferences below:

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:
Thank you for your interest!  Hope to see you at a playgroup soon!