Adaptive & Inclusive Recreation Program Suggestions Question Title * 1. What are the age(s) of the family members who would be enrolling in AR programs? Pre-K (2 - 4 yrs) Youth (5 - 12yrs) Teen (13 - 17yrs) Adult (18+ yrs) Active Adult (55+ yrs) Question Title * 2. Which of the following of AR activities or programs would you be most likely to enroll in this fall? Martial Arts Lacrosse Baseball/Teeball Cheerleading Sitting Volleyball Boccia Soccer Basketball Pickleball Sensory Exploration Craft Classes Social Outings Fitness Classes Special Events (Dances, Seasonal Events, Bingo, etc.) Outdoor Experiences (Walks, Hikes, etc.) Game Nights Other (please specify) Question Title * 3. What times are you most likely to attend a class? Morning Afternoon Evening Monday Monday Morning Monday Afternoon Monday Evening Tuesday Tuesday Morning Tuesday Afternoon Tuesday Evening Wednesday Wednesday Morning Wednesday Afternoon Wednesday Evening Thursday Thursday Morning Thursday Afternoon Thursday Evening Friday Friday Morning Friday Afternoon Friday Evening Saturday Saturday Morning Saturday Afternoon Saturday Evening Sunday Sunday Morning Sunday Afternoon Sunday Evening Question Title * 4. Which activity format are you most likely to attend? Consecutive, multi-week programs/classes A one-time program/class Drop-in programs Question Title * 5. Do you have any other comments or suggestions? Question Title * 6. How did you find out FCPR's AIR Programs? Question Title * 7. Would you like to be included in a mailing list about upcoming AIR offerings? Name Address Address 2 City/Town State/Province -- 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/Postal Code Country Email Address Done