Activity Participation Survey

Groundwork Bridgeport requests your help! Please complete the following Activity Participation Survey. We will be using this information to inform the type and number of activities offered to students in Bridgeport. Thank you for your time.

Name *
Name
Phone *
Phone
What is the best way to get in touch with you? *
1. Are you interested in participating in after-school, extracurricular, or summer activities? *
2. Are you currently participating or have you recently participated in any after-school, extracurricular, or summer activities? *
3. If you're not participating in any activities, why not? Please select all that apply. *
4. Please select the types of activities below that you would be interested in participating in.
Sports/Physical
Art/Music
Miscellaneous