CALVARY UNITED METHODIST CHURCH
101SOUTH CHERRY STREET
P.O. BOX 229
AVILLA, INDIANA 46710
(260) 897-3190
The Child Care Ministry Board of Calvary United Methodist Church is exploring the child care needs of families in our community. We desire to help our neighbors in response to the stresses on all families as they struggle to raise their children. It would be appreciated if you would please print out and complete the survey below and return it by June 9th to the above address. Thank you for your kindness.
Please indicate the number of children in your home needing each kind of care listed below.
1. Preschoolers
___ Full-time child care (6:00 a.m. to 6:00 p.m.)
___Infants/toddlers
___Two-year olds
___Three-to-Five-year olds
Days for which care is needed___________________________________________________
Hours for which care is needed__________________________________________________
___Preschool (2 1/2 hour program for children aged 3
through 5.
___Prefer morning
sessions ___Prefer
afternoon sessions
___Drop-in care ("as needed" child care)
Ages of child(ren) needing
care__________________________________________________
Days/hours typically needed____________________________________________________
2. School-age children
____K____1st____2nd____3rd____4th____5th____6th____
___Before school (6:00 a.m. until the start of school day)
___After school (from the end of school day until 6:00 p.m.)
___During a.m. Kindergarten
___During p.m. Kindergarten
___Care only on school holidays and school dismissal days
___During the summer (full days)
___Summer program
___Weeks
needed
___Hours needed
Comments___________________________________________________________________________________________
___________________________________________________________________________________________________
Name and
Address______________________________________________________________________________
__________________________________________________________________________________(optional)
Our sincere thanks for your cooperation!