Boys & Girls Club of Detroit Lakes Summer Care Survey
RequiredRequired Question(s)
Families: we are thinking of and missing you all! 

READ THOROUGHLY - please fill out this survey if you are interested in our options for summer programming. We do understand things are changing regularly, so please fill this out based on your CURRENT status.

Filling out this survey will help us better understand the specific needs of our families during this time.

*If/when our summer programming is available it will NOT run as a drop-in program - you will have to receive email or phone confirmation from a club staff confirming enrollment BEFORE your child(ren) could attend. Your child(ren) had to have been in Kindergarten-6th grade during the 2019-2020 school year OR already 5 years old and enrolled in Kindergarten for the 2020-2021 school year to be considered for summer enrollment.

Thank you for your time.
 
1.
Please enter the information indicated below.

First Name:
Last Name:

Required 2.
Please list the first and last name(s) of your club member(s).
 

50 characters left.
Access to food, childcare, internet, etc.
 
Required 3.
Do you have access to our website at home if we post challenges, videos, activities and more for your club members online? 
Yes
No
4.

If you do have access to online challenges, videos, activities do you think your club member would participate?

Yes
Sometimes
No
Other  
  • Comment:

  • 500 characters left.
Required 5.

How many children 18 years or younger live in your household?

 

50 characters left.
Required 6.
Please tell us your status on the following items:
 No Concern Doing okay Indifferent In a little need Very Concerned 
My supply and access to hygiene & cleaning products
My supply and access to food, water and essentials
My supply and access to ideas/activities for my child(ren) to do during the day
My supply and access to materials (markers, paper, games/puzzles, etc.) for my child(ren) to use for activities and play
Academic assistance for my child(ren)
A need for/access to summer care for my child(ren) while I work
  • Comment:

  • 500 characters left.
Required 7.
Which of the following best describes your meal/food situation?
We rely on the school district's meal program and would be lost without some type of meal/food support
We appreciate the meals, but would do ok without them
We haven't needed meal/food assistance before, but are anticipating a need if these limitations continue
We are indifferent
Other  
  • Comment:

  • 500 characters left.
8.

If receiving meals, how do you receive your meals/food right now?

It is delivered to our home
We drive in and pick it up
Required 9.
Which best describes your need for child care this summer.
I do not need child care this summer
I am not sure if I will need child care this summer
I need child care part time this summer
I need child care full time (Monday-Friday) this summer
Other  
  • Comment:

  • 500 characters left.
Employment Status
 
The Club has the safety of it's club members and staff as the number one priority; in order to maintain compliance with social distancing recommendations, initial Club opening will have a maximum enrollment capacity. 

If you have ANY other option for your club member(s) during this time, please use that first. If/when enrolled parent(s)/guardian(s) will be required to submit a work schedule.
 
Required 10.
Parent/Guardian #1 please select ALL that apply to your current employment.
I am unemployed
I am laid off
I am furloughed
I work from home part time
I work from home full time
I work out of the home part time
I work out of the home full time
I work combination of from home AND out of the home
I am considered a CRITICAL worker
Other  
  • Comment:

  • 500 characters left.
Required 11.

Parent/guardian #1 if working, list name of employer. Type N/A if not applicable.

 

50 characters left.
Required 12.
Parent/Guardian #2 please select ALL that apply to your current employment.
I am unemployed
I am laid off
I am furloughed
I work from home part time
I work from home full time
I work out of the home part time
I work out of the home full time
I work combination of from home AND out of the home
I am considered a CRITICAL worker
Other  
  • Comment:

  • 500 characters left.
Required 13.

Parent/guardian #2 if working, list name of employer. Type N/A if not applicable.

 

50 characters left.
Required 14.

Is there anything else you would like to share with the Club regarding your need for summer care or any other resources during this time? If you are NOT a current member, please add a contact phone number and email address below so we can reach you. 

Yes
No
  • Comment:

  • 500 characters left.
Thank you and we hope you are well! We will continue updating families via phone, email and social media. If you need to update the phone number or email address associated with your account, please email changes to theclub@bgcofdl.org or call 218-847-5700 ext. 0.