STEMEX Classes Survey

Help us schedule our classes! We're planning sessions for Tuesday, Wednesday, or Thursday. Please share your preferences below.

Parent/Guardian Name *

Email Address *

Phone Number

Child's Name(s) *

Which program are you interested in? *

Home-Ed Classes

Daytime sessions • 11:00 AM - 3:00 PM

After School Sessions

After school • 3:00 PM - 6:00 PM

Which day would work best for your family? *

Tuesday

Wednesday

Thursday

Which time slots would work for you? *
(Select all that apply - Home-Ed: 11am-3pm)

11:00 AM - 12:00 PM

12:00 PM - 1:00 PM

1:00 PM - 2:00 PM

2:00 PM - 3:00 PM

Which time slots would work for you? *
(Select all that apply - After School: 3pm-6pm)

3:00 PM - 4:00 PM

4:00 PM - 5:00 PM

5:00 PM - 6:00 PM

Additional Comments or Questions

Submit Survey