1. What is your sponsor information?
Active Duty

Reservist

National Guard

Retired

DOD Civilian

Grade/ Rank:

2. Please provide Spouse information:
NONE

Active Duty

Reservist

National Guard

Retired

DOD Civilian

Unemployed

Employed Other

Homemaker/Volunteer/Student

Grade/ Rank:

3. What parenting classes would you like to see offered by CYSS?

4. If you are interested in having your child(ren) transported by CYSS from school to our School Age or Youth Center after school programs, please provide the information below:
Name
Email
School Child attends

5. Did you know that Child Care, After School Care and Summer Camps are available to Garrison / NASA employees?
YES
NO

LIST WAYS THAT YOU CAN RECEIVE INFORMATION

6. Please list any youth sporting activities that you would like to see offered:

7. Please list any SKIES classes (CHEERLEADING, DANCE, CHORUS, DRIVER'S ED, ETC) that you would like to see offered:

8. Are the hours of operation at the program your child(ren) attend adequate?
YES
NO
IF NO, PLEASE INDICATE THE HOURS THAT YOU WOULD LIKE

9. What do you feel could be done to improve our services?