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2. Note:
   Please sit down with your child and complete this anonymous form. We use this valuable information when considering changes and planning in the future.
4. Type of Program?*
   -- Select One --ArtDay Camp (CPDC or SPDC)Tae Kwon DoTheaterMusicTennis Taste of AdventurePotteryNEW - Splash Paddle Boarding Pilot
5. Which Session(s) or Class Level &/ or Day of the week?

   If you are unsure of the name if you can at least give us the day of the week and time it meets would help us.

6. Which Day Camp?

   1. Cass Park Day Camp (5-8yrs)
   2. Stewart Park Day Camp (8-13yrs)
   3. 1/2 Day Pottery Camp
   4. 1/2 Day Theater Options
8. Name of Program:*
9. How did you find out about the program?*

   Check all that apply

   1. Facebook / Social Media
   2. Friend
   3. I-PLAYcard
   4. Website
11. If you viewed the I-PLAYcard electronically, where did you receive or see it?

    1. Email
    2. Facebook / Social Media
    3. Other Website
12. If you found it in the printed I-PLAYcard, where did you receive it?

    1. Cass Park
    2. IYB
    3. Local Agency
    4. School
13. If web, which site?

    1. IYB Rec
    2. Community Pass Calatog
    3. Other Website
15. How did you register? *
    -- Select One --OnlineMail In Person
16. If you registered in person, was it @
    -- Select One --Cass Park Ithaca Youth Bureau
17. If online, what type of device did you use?
    -- Select One --DesktopPhone TabletLaptop
19. If Online, was the NEW catalog easy to access and maneuver through?

    1. Yes
    2. No
20. Any additional thoughts about the online catalog?
22. 1. Are you a City of Ithaca resident?

    1. Yes

    1. No
23. 2. The program fee was reasonable?

    1. Yes
    2. No

    1. Not Sure
24. 3. I feel / felt confident and safe (leaving my child) here.

    1. Yes
    2. No
    3. Not Sure
26. 4.a. I / My child felt welcomed in the class / program.

    1. Absolutely
    2. Mostly
    3. Somewhat
    4. Not at all
27. 4.b. Why or why not?
29. 5.a. I / My child felt included in the class / program.

    1. Absolutely
    2. Mostly
    3. Somewhat
    4. Not at all
30. 5.b. Why or why not?
32. 6.a. I / My child was eager to attend each session.

    1. Yes
    2. No
    3. Sometimes
33. 6.b. Why or why not?
35. 7. I am able to get information I need and answers to ?s I have about the class or program.

    1. Always
    2. Mostly
    3. Sometimes
    4. Not at all
36. 8. Participants were encouraged to be respectful of others.

    1. Yes
    2. No
    3. Not Sure
37. 9. My (child's) overall experience with the program was _________.

    1. Great
    2. Good
    3. Average
    4. Bad
39. 10. The program expectations & goals / objectives were shared.

    1. Yes
    2. No
    3. Not Sure
40. 11. I / My child made new friends.

    1. Yes
    2. No
    3. Not Sure
42. 12. Did your child take advantage of the free lunch provided during camp this summer?

    1. Yes
    2. No
    3. Sometimes
43. 13. Would you want the free summer lunch to continue?

    1. Yes
    2. No
44. 14. Any comments about the lunch program to share w/ ICSD?
46. The best thing(s) about this program is/are:
48. The least thing(s) liked or that needs improvement about this program is/are:
50. Is there anything else you would like to share with us?
52. I would recommend this program to others.

    1. Yes
    2. No
53. Why?
55. I plan to return for other IYB Rec Programs

    1. Yes
    2. No
56. Why?
58. Thank you for taking the time to give us your feedback, we greatly appreciate it!
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60. Submit

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