TerraCycle & Old Navy Playground Questionnaire

Playground Survey

In 2011, TerraCycle® and Old Navy will be donating playgrounds made from recycled Flip Flops to deserving Brigade® locations across America.

The total number of available recycled playgrounds is still unknown. However, if you would like to be considered for this opportunity we ask you please provide the information in the below form.

Question Title

* 1. Please provide us with the contact information associated with your TerraCycle Brigade account:

Name: *

TerraCycle Username: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. Please select the category that best describes your Brigade Location organization.

Preschool

Public Elementary School

Public Middle School

Public High School

Private Elementary School

Private Middle School

Private High School

Home and School Association

Community Center

Religious Group

Scout Troop

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* 3. Does your Brigade location currently have a playground?

Yes

If yes, how many?

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* 4. Does your school or organization have existing space that could be dedicated to a playground?

Yes

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* 5. Do you have a team of volunteers to install the playground with help from playground manufactures?

Yes

TerraCycle & Old Navy Playground Questionnaire

Playground Survey

Question Title

* 1. Please provide us with the contact information associated with your TerraCycle Brigade account:

Question Title

* 2. Please select the category that best describes your Brigade Location organization.

Question Title

* 3. Does your Brigade location currently have a playground?

Question Title

* 4. Does your school or organization have existing space that could be dedicated to a playground?

Question Title

* 5. Do you have a team of volunteers to install the playground with help from playground manufactures?

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* 6. What would it mean to your school if TerraCycle installed a free playground?

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* 7. Do you have any concerns or details that you think we should be aware of if we chose your school to receive a free playground?