Extracurricular Activity Interest Poll - American Heritage School

Student's Name *

Student's Grade Level

Parent's Name

Which Monday extracurricular activity (if offered) is this student you most likely to participate in?

Which Tuesday extracurricular activity (if offered) is this student you most likely to participate in?

Which Wednesday extracurricular activity (if offered) is this student you most likely to participate in?

Which Thursday extracurricular activity (if offered) is this student you most likely to participate in?

Which Friday extracurricular activity (if offered) is this student you most likely to participate in?

What other activities are you likely to enroll this child in, if offered (day of the activity to be determined)?

Gardening, Sewing, Cooking ($150/yr)
Family and Church History
Geography Bee
Future Business Leaders of America (FBLA) ($150/yr)
HOSA – Future Health Professionals ($150/yr)

Would you be interested in helping to lead an after school activity?

Yes
Thanks, but I’m not interested at this time.

What other extra-curricular activities not mentioned above would you recommend for AHS?

If you would like to help lead an extra-curricular activity, please mention the name of the activity you are able to help with, and the day(s) you are available to help from 3:30–5:30 p.m. Depending on many factors, it is possible that not all activities will be approved.

Any Comments