Town of Castle Rock
Parks & Recreation Department
Adaptive Recreation Interest Survey

Adaptive Recreation programs are designed to include individuals with developmental or physical disabilities in appropriate recreational activities. The goals of these programs are to provide a positive and supportive learning environment where individuals can explore new social and life skills, develop friendships, and engage in a variety of recreational opportunities.

Thank you for taking the time to complete this survey.  Your opinions and suggestions are valued and appreciated!

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* 1. Age of Participant

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* 2. Presenting Condition(s)

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* 3. What are the best times for you to participate in recreational classes or programs?

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* 4. Do you currently participate in any adaptive recreation programs? If so, please specify.

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* 5. What activities would you like to see offered? Please check all that apply.

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* 6. List the top three activities in which you would like to participate

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* 7. Would you be interested in a 2019 "Club" membership that would give you entrance into our monthly social events, a yearly pass to the Recreation Center for the participant, a "Club" t-shirt, and other great incentives and prizes throughout the year? The membership would cost between $100-$150 for the 2019 calendar year.

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* 8. If you would like to receive information about adaptive recreation activities and programs please provide us with the information below:

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* 9. Please share with us any additional comments, suggestions, and/or ideas:

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* 10. Please place my name in the drawing for the MAC punch card prize.

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