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Fa'(785)234_546~ 2036 NWTay lor To pek a. Ka nsa s 6 6608 (78 5) 234-4677 email [email protected] Kuehne Family YMCA - YMCA Safe Visit Sat ell ite Off ice 6-18-07 Dea r Saf e Vis it Pro gra m Par tici pant: Encla sedj sapr.ogr am cva luati an. Pl eas e take time ta ca mplete this f ar m and r etu rn it in . the env ela pe pr avided. Ther e is na need ta inclu de yaur name an the far m but ple ase che ck al l the spaces that appl y. This inf ar ma tia n will be used ta madi fY t he pr ogram by adding any needed services .or make chang es ta exi st ing service s. Yaur inp ut is ver y impart ant ta us. Thank yau far ya ur ti me. . -- ------ -- - This program funded in part h y l:ran/.f prrJ\/lded b~' flit'  United Way. Sha ... ••. nu Count y. Cirr YOuJh Sen'letS Fund. tM Stale Chil d  E:u:hang~ and Vl'Jitatioll Ceru u Prog ram, and the Fe dera l Slalt! AcCt'.S'j' and Vis ual /on Pro gram aJ adminisU'~d by Kt1IUaS Attornt')' Genual ,uu 1 Th ~ Gove rno r of Kansas .

2007 June 18- - Safe Visit

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Fa'(785)234_546~

~

2036 NWTaylor Topeka. Kansas 66608 (785) 234-4677

email [email protected]

Kuehne Family YMCA - YMCA Safe Visit

Satellite Office

6-18-07

Dear Safe Visit Program Participant:

Enclasedjsapr.ogram cvaluatian. Please take time ta camplete this farm and return it in .

the envelape pravided. There is na need ta include yaur name an the farm but please

check all the spaces that apply. This infarmatian will be used ta madifY the program by

adding any needed services .or make changes ta existing services. Yaur input is very

impartant ta us. Thank yau far yaur time.

.-- ------ -- -

This program funded in part h y  l:ran/.f  prrJ\/lded  b~' flit'  United Way. Sha ...••.nu  County. Cirr YOuJhSen'letS  Fund. tM Stale Child  E:u:hang~ and 

Vl'Jitatioll  Ceruu Program, and the Federal  Slalt! AcCt'.S'j'  and Visual/on Program aJ adminisU'~d  by Kt1IUaS Attornt')' Genual  ,uu1 Th~ Governor of Kansa