TerraCycle & Old Navy Playground Questionnaire Survey

1.Please provide us with the contact information associated with your TerraCycle Brigade account:(Required.)

Name:

TerraCycle Username:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

3.Does your Brigade location currently have a playground?

Yes

No

If yes, how many?

4.Does your school or organization have existing space that could be dedicated to a playground?

Yes

No

5.Do you have a team of volunteers to install the playground with help from playground manufactures?

Yes

No

6.What would it mean to your school if TerraCycle installed a free playground?

7.Do you have any concerns or details that you think we should be aware of if we chose your school to receive a free playground?

TerraCycle & Old Navy Playground Questionnaire