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2012 Day for Kids Event Evaluation
3.
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Day for Kids is the perfect opportunity to galvanize the community and celebrate our nation's kids. Tell us how your Club celebrated the Day by completing this brief survey no later than Friday, October 4, 2012.
*
1.
Please complete the following:
(Required.)
Name:
*
Organization:
*
Unit:
Event(s) Site:
*
City/Town:
State:
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
E-mail Address:
*
Phone Number:
*
2.
Please list your participating Clubs.
3.
Total number of attendees at the event.
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4.
Number of adults that attended the event.
(Required.)
*
5.
Number of members from your Boys & Girls Club attending the event.
(Required.)
*
6.
New members enrolled in your Club during or as a result of this event.
(Required.)
*
7.
Population of location where event was held:
(Required.)
0 - 20,000
20,001 - 40,000
40,001 - 60,000
60,001 - 80,000
80,001 - 100,000
100,001 - 200,000
200,001 - 300,000
300,001 - 400,000
400,001 - 500,000
500,001 - 600,000
600,001 - 700,000
700,001 - 800,000
800,001 - 900,000
900,001 - 1,000,000
1,000,001 or more Required
*
8.
Indicate what type of event you organized
(Required.)
9.
Did your Club or organization organize a Wanna Play activity during your Day for Kids event?
Yes
No
