Trail Blazers Day Camp Survey2 1. Trail Blazers Day Camp Survey (IF YOU FILLED OUT A SURVEY AFTER THE FREE DAY AT CAMP, THERE IS NO NEED TO COMPLETE THIS)Please take a moment to give us information to help us plan for the summer. Thank you very much and hope to see you this summer!Remember that we are hosting an Open House/Earth Day Celebration on April 17 - watch out for the email. Question Title * 1. Please provide us with contact information: Name: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Question Title * 2. Are planning to send your child to day camp this summer? Yes No If you are considering sending your child, what will be the deciding factor? Question Title * 3. If you answered yes, please indicate during which weeks and days you might send your child. This will help us plan and hire staff for the summer. (We realize these are estimates, these are not commitments on your part.) Monday Tuesday Wednesday Thursday Friday Week 2: June 28 - July 2 Week 2: June 28 - July 2 Monday Week 2: June 28 - July 2 Tuesday Week 2: June 28 - July 2 Wednesday Week 2: June 28 - July 2 Thursday Week 2: June 28 - July 2 Friday Week 3: July 5 - July 9 Week 3: July 5 - July 9 Monday Week 3: July 5 - July 9 Tuesday Week 3: July 5 - July 9 Wednesday Week 3: July 5 - July 9 Thursday Week 3: July 5 - July 9 Friday Week 4: July 12 - July16 Week 4: July 12 - July16 Monday Week 4: July 12 - July16 Tuesday Week 4: July 12 - July16 Wednesday Week 4: July 12 - July16 Thursday Week 4: July 12 - July16 Friday Week 5: July 19 - July 23 Week 5: July 19 - July 23 Monday Week 5: July 19 - July 23 Tuesday Week 5: July 19 - July 23 Wednesday Week 5: July 19 - July 23 Thursday Week 5: July 19 - July 23 Friday Week 6: July 26 - July 30 Week 6: July 26 - July 30 Monday Week 6: July 26 - July 30 Tuesday Week 6: July 26 - July 30 Wednesday Week 6: July 26 - July 30 Thursday Week 6: July 26 - July 30 Friday Week 7: August 2 - August 6 Week 7: August 2 - August 6 Monday Week 7: August 2 - August 6 Tuesday Week 7: August 2 - August 6 Wednesday Week 7: August 2 - August 6 Thursday Week 7: August 2 - August 6 Friday Week 8: August 9 - August 13 Week 8: August 9 - August 13 Monday Week 8: August 9 - August 13 Tuesday Week 8: August 9 - August 13 Wednesday Week 8: August 9 - August 13 Thursday Week 8: August 9 - August 13 Friday Week 9: August 16 - August 20 Week 9: August 16 - August 20 Monday Week 9: August 16 - August 20 Tuesday Week 9: August 16 - August 20 Wednesday Week 9: August 16 - August 20 Thursday Week 9: August 16 - August 20 Friday Week 10: August 23 - August 27 Week 10: August 23 - August 27 Monday Week 10: August 23 - August 27 Tuesday Week 10: August 23 - August 27 Wednesday Week 10: August 23 - August 27 Thursday Week 10: August 23 - August 27 Friday Question Title * 4. Based on question 10, how many days in total are you thinking of sending your child? (Answer per child) Child 1 Child 2 Child 3 Child 4 Question Title * 5. We are exploring offering transportation from fixed pick up points, potentially for Montague, Branchville, Hainesville, Milford routes as well as Sussex routes.This would be at an extra charge to cover the cost of bus and driver. Is this something you are interested in? Yes No Maybe From what location/town? Question Title * 6. Please note that we communicate by email, now as well as during the summer. Make sure we have your valid email address and add any additional addresses we should add to our list. email 1 email 2 email 3 email 4 email 5 email 6 Question Title * 7. Would you like us to contact you to discuss options for the summer? Yes No Question Title * 8. Would you like to receive a brochure in the mail? Yes No Question Title * 9. Please use this space to discuss any concerns, add comments or express wishes. We value your input. Thank you! Done