Kindie Kids

Survey / Questionnaire

Date: ______

 

Instructions:  Please check the Yes or No blocks to indicate your preference. At the bottom, fill in your contact information and return the survey to the school office.

        

 

Y   N   CLASSES OFFERED

  1. Introduction to music or

  2. Computer interaction

 

  3. Introduction to math or

  4. Learning numbers

 

  5. ABC’s or

  6. Language

 

  7. Art or

  8. Physical

 

  9. Playtime or

10. some

 

Y   N     PREFERRED TIME

  1. AM Kindergarten beginning 8:30 am or

  2. PM Kindergarten beginning 12:30 pm

 

 

 

All contact information will be kept confidential.

 

Name: ____________________________________________________________  Address: __________________________________________________________  City/ St / Zip: ______________________________________________________

Phone #    ______ -_______ -____________  Alt #______ -_______ -________

Fax #   ______ -_______ -____________ 

Email: ___________________________________________________________

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