Test Name Street Address Phone Number Email Address Occupation 1. Has your child ever participated in the BKLA Summer Camp Program formerly Pac Camps? Yes. My child has participated in BKLA Summer Camp. No. My child has not participated in BKLA Summer Camp. I have not heard of BKLA Summer Camp but would like to find out more information. 2. How many camp-aged children do you have? (Ages 3-15) 3. How old are your children? (Check all that apply) Age 3-5 Age 6-8 Age 8-10 Age 11+ 4. Are you planning on sending your child(ren) to summer camp Yes. We are currently enrolled in BKLA Summer Camp 2020. Yes. We are enrolled or considering enrollment in a summer camp program with a different organization. Maybe. We are considering enrollment in BKLA Summer Camp 2020. We are undecided. No. We are not planning on attending a summer day camp program. If no, please tell us why: 5. How many weeks would you prefer to enroll your child in summer camp? Less than 2 weeks 2-4 weeks 4-6 weeks Full summer (8 weeks) 6. For an in-person camp, what program hours would you need the most? (check all that apply) Full Day Half Day Extended Care A.M. Extended Care P.M. Other (please specify): 7. How important are field trips, as part of the camp experience, to you at this time? Not at all. I don’t think it is safe. Very. I wouldn’t register without it. Other (please explain): 8. How important is extended care (before 9am and/or after 4pm) to you at this time. Not at all. I would register my child without it. Very. I wouldn’t register my child without it. Other (please explain): 9. How would you plan to get your child(ren) to camp? Camp bus. Parent/Guardian pick up and drop off. Public transportation. Other (please specify): 10. Would you be interested in virtual camp programming? Yes No Other (please specify): Time is Up! Time's up
