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2. Please submit one evaluation form per recreation program.
4. Session*
   -- Select One --FallSummerWinter/Spring
5. Program participated in:*
7. On a scale of 1 to 6, with 1 being the lowest, please evaluate the following:
9. Program Content*
   -- Select One --123456
10. Program Instructor*
    -- Select One --123456
11. Program Facilities*
    -- Select One --123456
13. Comment(s) about the program:
15. Suggestions for new or additional programs:
17. Optional:
19. Name
21. Address
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field