Toddler Program Survey
As we form the City of Lakes Toddler Program to meet the needs of our Twin Cities community for a whole-child approach for the very young, please take a moment to tell us how we can best serve you. Your feedback is appreciated!
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Parent(s) Name(s)
Parent(s) Email
Parent(s) Phone Number
Child's Name
Child's Birth Date
MM
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DD
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YYYY
Which schedule would you prefer for your child? (check all that apply)
How critical is care during CLWS school holidays and breaks, such as Winter/Spring Break, Presidents' Day holiday, etc…?
Clear selection
How critical is care during the Summer months?
Clear selection
Do you have specific dietary restrictions or allergies? List all that apply.
What is the main reason for your interest in the City of Lakes Toddler Child care program? Explain if needed.
Are you a current CLWS family? If not, how did you hear about us?
Anything else you’d like to let us know?
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