Parent Survey

1
Your Child's Full Name
First Name
Last Name
2
Your Child's Preferred Name(Nickname)
example: John vs. Johnathan
3
How old is your child?
4
What grade is your child in?As of Fall, 2019
5
How did you hear about us?Family, friend, online, other (please describe)
6
Why should we choose your child?What makes him/her a good candidate for our program?
7
What do you hope your child will gain from this experience?What do you expect from us?
8
Has your child attended a camp retreat before?If so, what type? When, and where?
9
Who is your child?What are his/her interests? Give us some details about them.
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10
What are your child's current needs?Mentally, emotionally, physically, it can be anything.
11
What are your child's goals for the future?If you don't know them specifically, can you take a guess?
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12
Give us ONE word that describes your child:
Should be Empty: