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Carthage Public Library District
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This page is hidden from view.
It's intended as a location to save surveys and information that we do not wish to display now, but may wish to use again.
Activity Session Registration Form & Permission Slip
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Indicates required field
Child's Name
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First
Last
Child's Age
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Grade just completed
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Parent's Name
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First
Last
Email
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Phone Number
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Select Session
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Tuesdays, 10:00 am
Tuesdays, 1:30 pm
Wednesdays, 1:30 (Teens, 4th-12th)
Thursdays, 10:00 am (PreSchool)
Thursdays, 1:00 pm (PreSchool)
Monday Movie Matinee, 1:30 pm. My child has permission to watch G-rated movies.
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Yes
Will not be attending
Comments
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Does Child have any Food Allergies?
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Group photos or videos from the activities may be posted on the Library's website, Facebook or other Social Media. None of the children will be identified by name. IF YOU DO NOT WANT US TO INCLUDE ANY PHOTOS OR VIDEOS WITH YOUR CHILD, PLEASE TYPE PARENTS' NAME IN THIS BOX.
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For parents of teens/tweens (4th-12th) attending the Wednesday sessions:
My teen has permission to participate in making videos, which may be placed on YouTube
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Yes
No
My teen has permission to create and use their own YouTube channel.
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Yes
No
My teen has permission to watch PG rated movies.
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Yes
No
Submit
Spelling Bee Evaluation Form
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Indicates required field
What was you primary role in the event?
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Team member
Sponsor
Audience Member
Volunteer Worker
How many members should be on each team?
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4
5
it doesn't matter
What was your favorite thing about the spelling bee?
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What information do you wish you had been given earlier?
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What was your least favorite thing about the spelling bee?
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What can we do to improve the event?
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Would you participate again?
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Yes
No
Do you think we should have another spelling bee?
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Yes
No
How can we increase participation?
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Comments:
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Submit
PARENT SURVEY
This survey is for parents or care givers of children 0-5 years of age, in the Carthage Public Library District.
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Indicates required field
Which of the following best describes your relationship to children age 5 & under?
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parent or guardian
grandparent
child care provider
How many children do you have or take care of in each of these age groups?
birth - 12 months
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3 - 4 years
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1 - 2 years
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4 - 5 years
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2 - 3 years
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Kdg - 4th Grade
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Would your 3-5 year old child(ren) attend a PreSchool Story Hour at the Library, if it was held on a day & time that fit your schedule? (Select one)
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Definitely
Probably
Maybe
Probably Not
No
During the school year, during which of these days and time periods would your 3-5 year old child(ren) be able to attend a PreSchool Story Hour at the Library?
(If your children are not yet in that age range, you may still express a preference for the future.) Check all that apply.
Check all that apply
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Monday mornings
Tuesday mornings
Wednesday mornings
Thursday mornings
Friday mornings
Check all that apply
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Weekday 9:30-10:30 am
Weekday 10:00-11:00 am
Weekday 10:30-11:30 am
Weekday 11:00-12:00
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Monday afternoons
Tuesday afternoons
Wednesday afternoons
Thursday afternoons
Friday afternoons
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Weekdays 1:00-2:00 pm
Weekdays 1:30-2:30 pm
Weekdays 2:00-3:00 pm
Weekdays 2:30-3:30 pm
Weekdays 3:00-4:00 pm
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Monday evenings
Tuesday evenings
Wednesday evenings
Thursday evenings
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Weekdays 4:00-5:00 pm
Weekdays 4:30-5:30 pm
Weekdays 5:00-6:00 pm
Weekdays 5:30-6:30 pm
Weekdays 6:00-7:00 pm
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Saturdays 9:30-10:30 am
Saturdays 10:00-11:00 am
Saturdays 10:30-11:30 am
Saturdays 11:00-12:00
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Saturdays 1:00-2:00 pm
Saturdays 1:30-2:30 pm
Saturdays 2:00-3:00 pm
Saturdays 2:30-3:30 pm
Would younger children also be attending with you?
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Would older children also be attending with you?
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We are considering starting a toddler story time for 1-3 year old children accompanied by an adult.
We could also incorporate some "lapsit" type activities for infants.
Would you attend a toddler/infant time with your child(ren), if it was held on a day/time that fit your schedule? (Select one)
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Definitely
Probably
Maybe
Probably not
No
During the school year, when would you be able to attend a toddler/infant time with your child(ren)?
Check all that apply.
Check all that apply.
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Monday mornings
Tuesday mornings
Wednesday mornings
Thursday mornings
Friday mornings
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Weekdays 9:30-10:30 am
Weekdays 10:00-11:00 am
Weekdays 10:30-11:30 am
Weekdays 11:00-12:00
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Monday afternoons
Tuesday afternoons
Wednesday afternoons
Thursday afternoons
Friday afternoons
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Weekdays 1:00-2:00 pm
Weekdays 1:30-2:30 pm
Weekdays 2:00-3:00 pm
Weekdays 2:30-3:30 pm
Weekdays 3:00-4:00 pm
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Monday evenings
Tuesday evenings
Wednesday evenings
Thursday evenings
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Weekdays 4:00-5:00 pm
Weekdays 4:30-5:30 pm
Weekdays 5:00-6:00 pm
Weekdays 5:30-6:30 pm
Weekdays 6:00-7:00 pm
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Saturdays 9:30-10:30 am
Saturdays 10:00-11:00 am
Saturdays 10:30-11:30 am
Saturdays 11:00-12:00
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Saturdays 1:00-2:00 pm
Saturdays 1:30-2:30 pm
Saturdays 2:00-3:00 pm
Saturdays 2:30-3:30 pm
Would older children need to attend with you and your toddler?
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Other than scheduling, what factors would make it difficult for you and your children to attend library programs?
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Thank you for taking our survey!!
Please spread the word to others you know who have young children. Thanks.
Submit