Before School Child Care Survey

The Haddam-Killingworth Recreation Department has just received the new school schedule for the 2008-09 school year.

Elementary schools will have an 8:40 AM start time and a 3:25 PM end time.

We realize that his later start time will create some child care issues for many working parents. The HK Recreation Department would like to try to assist those families in need. However, in order to conduct a viable self-funding program, we need your input. We will continue to offer our After School Program regardless of what decisions are made with regards to a Before School Program.

Please take a few minutes to complete this survey and return ASAP to:

HK Recreation Department; P.O. Box 569; 91 Little City Rd.; Higganum, CT 06441

1. Which elementary school will your child/children attend in the fall of 2008?

BES HES KES (Circle One)

2. If the HK Recreation Department were to offer a Before School Child Care Program at the elementary school level, would you utilize this service?

__________ ___________

Yes No

A. If yes, how many children would you enroll (K-4^th grade in fall of 2008)?

1 2 3 4

Circle Appropriate Number

B. If yes, what time would you need to drop off your child/children?

______________ ______________ ______________

7:00 AM 7:30 AM 8:00 AM

C. Keeping in mind that any Before School Program sponsored by the HK Recreation Department would need to be self-funding, what is the maximum weekly fee you would be willing to pay?

$50.00 per week $55.00 per week $60.00 per week (Circle One)

3. Comments: _________________________________________________________________________

__________________________________________________________________________

Please return this survey ASAP.

Thank you,

HK Recreation Department

See After School Program Information on Reverse Side