JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bangor Borough Park Board is surveying interest in a Summer Recreation Program
This program would be open to kids ages 5-14. It would run from 6/6-7/3 from 9am-12pm Monday through Friday.
The cost is $160 per child and $100 for each additional child.
The program will be staffed, and guided activities for ages will be provided on the Memorial Park grounds.
Registration will be required and limited to the first 100 children.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
My family would be interested in this program.
*
Yes
No
If No, select the answers that best describes why. You may select as many as you’d like.
Too expensive
Hours are not convenient
Length of program is too short
Length of program is too long
Do not have trasnportation
Children are already involved in a daycare program during the summer
Other:
If you answered yes, why would you like to participate?
Your answer
If you answered yes, how many children would you want to enroll?
Your answer
What are the ages of your children? (list multiple ages, separated by a comma)
Your answer
Would you like to be notified by email if/when the program registration opens?
Yes
No
Clear selection
If yes, what is your best email?
Your answer
What Borough or Township do your children reside in?
Your answer
By submitting this survey, you are NOT committing to enrolling your child and completion of this survey does not imply registration of your child. A separate communication will be made available for that purpose.
We appreciate your response.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Connolly Consulting.
Report Abuse
Forms
