Fall 2020 Survey

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Fall 2020 Survey

We are conducting this survey in order to assign pick up and drop off times for the fall and staff our building adequately.

Asterisks (*) indicate a required field
Oldest Child's Name*
Please enter your oldest child's name enrolled at SpringRose Childcare
First Last
Drop Off & Pick Up Times
Please choose drop off and pick up times in 15 minute increments. Drop off times are between 7 AM and 9 AM. Pick up times are between 3 PM and 5 PM.
Drop Off Time*
Pick Up Time*
Parent/Guardian 1 Work Start & End Times
Parent/Guardian 1 Name*
First Last
Work Start Time*
Work End Time*
Are you currently working at home or at a business?*
- I work at home
- I work at a business
Do you anticipate this changing in the future?*
- Yes
- No
Parent/Guardian 2 Work Start & End Times
Parent/Guardian 2 Name*
First Last
Work Start Time*
Work End Time*
Are you currently working at home or at a business?*
- I work at home
- I work at a business
Do you anticipate this changing in the future?*
- Yes
- No

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