Survey

Please complete the Survey

Name *

First

Last

Please complete and submit. If you would like us to contact you, please leave your email address. Thank you. SAC - Simons Advisory Council.

Would you like to see programs for younger children ages 4 -6? *

Yes No

What programs would you like us to offer? *

Basketball Soccer Tee Ball Reading Club Dodge-Ball Other

What day would be the best day for your family to participate in a new program? *

Monday Tuesday Wednesday Thursday Friday Saturday

Gender of your child you would like to enroll? *

Male Female

Submit