SurveyMonkey Powered Online Survey

Can't find a site near you? Please let us know.

We are sorry that there is not a Summer BreakSpot nearby you. We are committed to increasing access to Summer BreakSpots wherever there is a need for them*. Please use the form below to share some information with us that will help us figure out where new sites may need to be recruited. This form only requires you to share your City and Zip Code, but knowing your Address and/or the School that your child attends will help us better pinpoint where more BreakSpots are needed. Thank you!

1. To help us figure out where sites might be needed

To help us figure out where sites might be needed Address:
City *
ZIP: *
School Your Child(ren) Attend(s):

2. Are there any parks, community centers, churches and other public spaces nearby that would make good Summer BreakSpot sites?

Are there any parks, community centers, churches and other public spaces nearby that would make good Summer BreakSpot sites?

3. If you'd like us to contact you to be a help with site recruitment or be notified when a site is opened near you

If you'd like us to contact you to be a help with site recruitment or be notified when a site is opened near you Name:
Email Address:
Phone Number:

*Though we cannot guarantee that a Summer BreakSpot will be opened near you, this information helps us when we are recruiting new sites. Your address will not be shared with unauthorized parties, rather used within our office to pinpoint general areas where many people respond saying that there is a need for a site.