Please Read all Questions Carefully and ensure that all information is correct before submitting! Name * First Name Last Name Email Cell Phone (###) ### #### What is your current school setting? Public School Private/Christian School Home School Combo of Home School & Private School Are you interested in enrolling your K-8 child/children in an educational enrichment program offered by Freedom Center Church during after school hours? * Yes No (If No please select "No" and then submit survey) Please List the Name and Ages of your children (1st Child) One Child Per Line (First, Last, Age) (Leave unused lines blank) (ex: John, Reading: 3rd grade, Math: 2nd Grade, John is behind one year in math and he needs to be caught up for 4th grade) 2nd Child 3rd Child 4th Child 5th Child What enrichment program(s) would you be interested in enrolling your child/children? 1st Choice Keyboard Lessons Drama/Musical Arts and Crafts 2nd Choice Keyboard Lessons Drama/Musical Arts and Crafts 3rd Choice Keyboard Lessons Drama/Musical Arts and Crafts We will be offering Reading and Math tutorials. What grade level would you like support for your child/children and what concerns do you have? Please Add First name of child and their *Reading Level and Math Level* and any concerns. Leave unused lines blank Child 2 Child 3 Child 4 Child 5 As a parent, would you like to participate in Parenting God’s Way course during the Enrichment classes? Yes No Are you interested in receiving information? Fort Bend County area private Christian schools rated A+ Enrichment or Support Programs for Home School families Diagnostic testing support for students not enrolled in public schools Would you be willing to volunteer be a support staff or instructor during the FCC Enrichment programs? Yes - Michelle will contact you for more info later No Thank you for your input! We cannot wait to see how God is going to use this program!
