Basic Information

1. How did you hear about our Summer Camp Program? (Please check all that apply)
Newspaper	Flyer	Word of Mouth	Internet	Other
If you chose other, please name:

2. Age of Camper(s):(If more than one child attended, check all that apply)
5	6	7	8	9	10	11	12

3. Number of Weeks Attended: Choose one 1 2 3 4 5 6 7 8

Please Rate the Following Areas:

Please rate us in the following areas. Choose N/A if your child did not choose to participate in a certain area such as sports or crafts.
	N/A	Poor	Fair	Good	Excellent
CAMP LOCATON
CAMP FACILITIES
CAMP FEES
EARLY ONLINE REGISTRATION
WALK-IN REGISTRATION
OVERALL PERFORMANCE OF COUNSELORS
FRIENDLINESS/HELPFULNESS OF THE FRONT DESK STAFF
CHOICE OF GAMES/ACTIVITIES OFFERED
CHOICE OF SPORTS OFFERED
CHOICE OF CRAFTS OFFERED
FIELD TRIPS
OVERALL CAMP EXPERIENCE
If you marked poor or fair on any of the above, please tell us how we can improve:

Additional Comments

Please list any additional comments in the space below:

Contact Information

**Optional**
First:	Last:	Phone:	Email:

Street Address:	City:	State:	Zip:
Would you like to be contacted by a staff person to discuss some part of this survey in more detail? Yes    No
If yes, then how would you like to be contacted? Phone    Email

Email Webmaster