You Can Help

[Guest guest]

I am getting some surveys returned but not as many I should be getting and

most are from the Atlanta metro area - this is NOT a metro issue - the goal

is to consolidate info for families about activities and help establish

those where there is a need and things are lacking. If we do not know where

the people are and what the needs are, we cannot help. We all want

activities for our children and this is the beginning of getting them. Even

if you participate in activities already it is important that we hear from

you.

Please complete this survey if you haven't already - it is imperative we get

information from across the state to know how to proceed based on need. If

you have any questions, please call me - 678 230-6985

GEORGIA SPECIAL RECREATION ASSOCIATION (GASRA)

If you are interested in helping build the foundation of the Georgia Special

Recreation Association, a local Special Recreation Association or have a

family member or friend that needs recreational and leisure activities. If

you have questions, please contact:

Kathy Everett Glen Rudh

Parent Advocate/Educational Consultant President, North Fulton Optimist

Club

KathyEverett@... grudh@...

678 230-6985 404 375-7033

Name ______________________________________ Phone ___________________ DOB

______________

Parent/Guardian Name __________________________________________________

Email _____________________________ School District ______________________

Address _____________________________________________________________

Street, city, county, zip

What types of recreation and leisure activities does your family member or

friend participate in now (like Special Olympics, private gymnastics, county

park soccer)?

________ I am interested in more information.

________ I am interested in helping build the GASRA.

________ I am interested in helping build a local special recreation

association (SRA).

________ I am interested in helping in the following ways (circle all that

apply):

management volunteer (organizer or coach) participant

fundraising web design donation

________ I have the following skills:

_____________________________________

________ I would like to see the following activities for people with

disabilities (circle all that apply):

leisure friends dances bowling swimming skiing ice

skating wrestling

baseball gymnastics running biking hiking walking

movies tennis

basketball cheerleading football soccer dinners concerts

sightseeing

hockey roller skating/blading weight-lifting traveling respite

care golf

community service projects day camp (summer) overnight camp (summer)

Please add any other comments or concerns on the backside of form.

Please mail completed form to: Kathy Everett 10570 Centennial Drive

Alpharetta, GA 30022