Name:
Date of Visit:
Address:
City:
State:
AL (Alabama) AK (Alaska) AR (Arkansas) AZ (Arizona) CA (California) CO (Colorado) CT (Connecticut) DE (Delaware) DC (District of Columbia) FL (Florida) GA (Georgia) HI (Hawaii) ID (Idaho) IL (Illinois) IN (Indiana) IA (Iowa) KS (Kansas) KY (Kentucky) LA (Louisiana) ME (Maine) 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) OH (Ohio) OK (Oklahoma) OR (Oregon) PA (Pennsylvania) RI (Rhode Island) SC (South Carolina) SD (South Dakota) TN (Tennessee) TX (Texas) UT (Utah) VT (Vermont) VA (Virginia) WA (Washington) WV (West Virginia) WI (Wisconsin) WY (Wyoming) AS (American Samoa) FM (Fed. States of Micronesia) GU (Guam) MH (Marshall Islands) MP (Northern Mariana Islands) PW (Palau) PR (Puerto Rico) VI (Virgin Islands) AA (APO/FPO AA) AE (APO/FPO AE) AP (APO/FPO AP)
Zip code:
Email Address:
Name of Park:
Name of Program:
How did you learn about this program?
(Please mark all that apply)
TV Radio Website E-mail From a Friend Flyer Brochure (use Ctrl-Click for multiple selections)
Who made the decision to come to For-Mar?
Mother Father Grandparent Friend Child Neighbor (use Ctrl-Click for multiple selections)
Is this your first time visiting For-Mar? Yes No
Please tell us a little about yourself: Female Male
Your age range:
under 18 18-30 31-40 41-50 51-60 61-70 71+
How far in advance do you plan your recreation activities?
1 week 2 weeks 3 weeks 1 month 2 months 3 months
Where do you look for recreation/entertainment ideas?
Website E-mail Magazine Newspaper TV Radio (use Ctrl-Click for multiple selections)
Are you interested in:
Family Programs Adult Programs Scout Programs Programs for Children (ages 3-6) School Field Trips Programs for Youth (ages 7-12) Programs for Teens (ages 13-17) (use Ctrl-Click for multiple selections)
Tree and Plant Identification Recycling/Green Initiatives Animals Hikes Astronomy Craft Projects Current Events Gardening/Landscaping Insects (use Ctrl-Click for multiple selections)
Other (Please specify)
Please rate the following: (Five being the best)
Park Staff
1 2 3 4 5
Entertainer/Presenter
Program Content
Program Length
Time of Program
Program Location
Grounds
Restrooms
Your Overall Experience
For Information and Reservations call: 1-800-648-PARK or 810-736-7100 (extension 6 for reservations) Email: Genesee County Parks and Recreation Commission Fax: 810-736-7220
Genesee County Parks and Recreation Commission 5045 Stanley Road Flint, Michigan 48506 Hours, admission rates and programs are subject to change.