TREC Survey Registration Fields marked with an <span class="ninja-forms-req-symbol">*</span> are required * 1. Which day(s) are you interested in registering for? Monday Tuesday Wednesday Thursday Friday None 2. If your child has not aged out of school, are you interested in a modified schedule that includes attending TREC part time as well as school? Yes No 3. Does your child successfully participate in a one staff to six-participant ratio? Yes No * 4. Please, select your town of residency: Select Town Addison Bensenville Butterfield Glendale Heights Lombard Itasca Medinah Oakbrook Terrace Schiller Park Villa Park Wood Dale Other * 5. How much does the program location influence your interest in TREC? (10 being the highest, 1 being the lowest). Please feel free to elaborate in the space provided.lease rate your level of interest in registering for the second site. (10 being the highest, 1 being the lowest). Please feel free to elaborate in the space provided. * 6. How important are community outings when you consider registering someone for a day program? (10 being the highest, 1 being the lowest) * 7. How much does the program fee affect your ability to register your child for a day program? (10 being the highest, 1 being the lowest). 8. Would you benefit from TREC’s fee assistance program? Yes No If you would like to schedule a time to visit TREC or to receive information about the program in the future, please fill in your information below. * Parent/Guardian Name: * Participant Name * Participant Age: * Participant Disability: * Phone * Email Additional comments If you are a human seeing this field, please leave it empty.
Every day when I picked our son up from summer camp, he was always HAPPY. It has made our summer AMAZING! – Anonymous
