Copyright (c) 2008
Kids In Motion
Planner, LLC

2008/2009 Gas Giveaway Survey

On behalf of Kids in Motion Planner I would like to personally thank you for taking just a few minutes to complete the 2008/2009 Gas Giveaway Survey. The survey consists of four questions requiring a yes or no answer, one informative question and a comments section. However, the answers you provide will be immeasurable to the future of children of divorce and to the planner that keeps their lives in motion.

Thank you again,
Sheila J. Butler, President/CEO
Kids in Motion Planner


  1. The age and gender of the child(ren) who will be utilizing the planner is:
    • Child 1:     Age:     Gender:
    • Child 2:     Age:     Gender:
    • Child 3:     Age:     Gender:
    • Child 4:     Age:     Gender:



Comments

2008/2009 Gas Giveaway Registration

Name

Address

Phone
Example: 123-456-7891