2. Name
3. E-mail Address
5. Program*
7. What did you like about the program?
9. What could be improved?
11. How often do you participate in Accessible Recreation Programs?
13. Do you use Park Board transportation? If so, how often?

    1. 2-3 times per week
    2. Once a week

    1. Monthly
    2. Never
15. What programs would you like to see in the future?
17. What is the best way for you to receive information regarding parks, facilities and/or programs offered by Accessible Recreation?

    1. E-mail
    2. Post Mail
    3. Word-of-mouth

    1. ParkBench Program Guide
    2. Park Board Website
19. Other comments or suggestions:
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field