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Parent Survey
Telling us more about your child will allow us to determine why there is a need to attend our retreat, how we can help you, and who we will be helping. Please fill out each question to the best of your ability.
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1
Your Child's Full Name
First Name
Last Name
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2
Your Child's Preferred Name
(Nickname)
example: John vs. Johnathan
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3
How old is your child?
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4
What grade is your child in?
As of Fall, 2019
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5
How did you hear about us?
Family, friend, online, other (please describe)
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6
Why should we choose your child?
What makes him/her a good candidate for our program?
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7
What do you hope your child will gain from this experience?
What do you expect from us?
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8
Has your child attended a camp retreat before?
If so, what type? When, and where?
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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.
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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:
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