Winter Program Interest - Primitive Pursuits, Ithaca

Parent First Name *

First

Parent Last Name *

Last

Parent Email *

What program or programs are your child/ren attending this Fall?

Caroline Tuesday Afterschool

Wild Wednesdays

Thursday Homeschool

Friday Homeschool

Forest Fridays (afterschool)

Fire & Frost Saturdays

Coyote Howl

We are not currently signed up for Primitive Pursuits Fall programming

Are you interested in Winter programs?

Yes! We want to continue the SAME program(s) we are in right now

Yes! We are interested in a DIFFERENT program (list below)

Yes! And we have some flexibility (ie, interested in Winter Homeschool but flexible on the day of the week)

Maybe (feel free to say more below)

No, we will not be signing up for Winter programs

If you are interested in our Winter Homeschool program and have a child age 11-15, which of the following options would you prefer?

Regular drop-off at 4-H Acres (similar to the Fall program)

Drop off at one or more other locations in the Ithaca area (likely downtown / on Rt 13). A program like this would feel close to our "Winter Explorers Homeschool" program we have run in previous years (but without transportation in the CCE vans)

The day of the week of the program is more important to our family than the drop off location

Use this space to say more:

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Winter Programming Interest Survey

LAND ACKNOWLEDGEMENT AND RESPONSIBILITY: