parent survey

Parent First & Last Name

Parent Email

Your Child's Name

You may put "Anonymous" if you do not wish to provide your child's name.

Your Child's Grade

Your Child's Age

How long has your child been enrolled in NIA and at what school?

Can you describe the biggest impact NIA has had on your child?

What does/did your child love most about NIA and why?

Why is after school important to you as a parent?

Is there anything else you’d like to share with us?

Please confirm that you give NIA consent to use your responses and/or submitted photo(s) for future publications.

Yes, I give consent for NIA to use my responses and/or photo(s) submitted.

Upload Files *NOT required

FileField;MaxSize=5120;Multiple;addText=Add_your_Files;