2026 Passport to Winter Fun Back Flap

Please complete this form and submit it AFTER your child finishes their Passport to Winter Fun.
Why does this matter? Your input helps us understand the real impact of our program. Since we don't have another way to track participation, we rely on information collected at the start and end of the program to see where our outreach is working well—and where we can do better. By sharing your child's results with us, you're helping us serve families even more effectively. Thank you!
How do we use your information? We use this data solely to evaluate program effectiveness and improve our outreach efforts. Your information is kept confidential and is never shared with third parties or used for any purpose other than program assessment.
1.Flap #(Required.)
2.Full Name:(Required.)
3.Age:(Required.)
4.Gender:(Required.)
5.School:(Required.)
6.In the last 7 days, how many days were you physically active for at least one hour?
7.Did you do any of the activities with your family?(Required.)
8.Did the Passport to Winter Fun change your physical activity this winter?(Required.)
9.How much of your Passport activity did you do outside?(Required.)
10.How many activity boxes did you fill in? (1-30)(Required.)