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L E CREATION SURVEY <br /> ATTENTION: PARENTS AND STUDENTS GRADE 6-12 SPECIAL EDUCATION <br /> RECREATION IS AN IMPORTANT ASPECT IN ALL OUR LIVES. <br /> STUDENTS RESIDING IN BLAINE, SPRING LAKE PARK, LINO LAKES, <br /> LEXINGTON, CIRCLE PINES, CENTERVILLE, AND AREAS OF FOREST <br /> LAKE ARE ASKED TO COMPLETE THIS RECREATION SURVEY. OUR GOAL <br /> IS THAT WE MAY BE ABLE TO OFFER QUALITY PROGRAMS IN YOUR <br /> COMMUNITY FOR THE PURPOSE OF SELF-ENTRICHMENT, FUN, <br /> RELAXATION, WELLNESS, AND SOCIALIZATION. PARENTS,PLEASE <br /> COMPLETE THIS INTEREST SURVEY AND MAIL. <br /> THE POSTAGE IS PAID . JUST TRI-FOLD THIS SHEET SO THE RETURN <br /> ADDRESS AND STAMPED AREA ARE DISPLAYED. PLEASE RETURN BY <br /> JUNE 30, 1996 AND THANK YOU FOR YOUR INPUT! <br /> NAME AGE PHONE <br /> ADDRESS CITY <br /> CURRENTLY INTEREST CURRENTLY INTEREST <br /> ACTIVITY DO IN ACTIVITY DO IN <br /> I'll read a list of activities, check if you like or dislike the activity <br /> TEAM SPORTS INDIVIDUAL SPORTS <br /> BOWLING Jogging/Running <br /> SOFTBALL Tennis <br /> SOCCER Swimming <br /> FOOTBALL Archery <br /> VOLLEYBALL Rollerskating <br /> FLOOR HOCKEY Horseback riding <br /> KICKBALL Bike riding <br /> TENNIS Fishing <br /> OTHER: (Specify) Ski-Snow-Water <br /> Walking-Hiking <br /> Other: (specify) <br /> MUSIC <br /> Singing <br /> Dancing(what kind) ARTS & CRAFTS <br /> Painting <br /> Play instrument Modeling Clay <br /> what kind? Drawing <br /> Dances-Concerts Variety of Crafts <br /> what kind? Latch Hook <br /> Other(specify) Other: (specify) <br /> TABLE GAMES SOCIAL CLUBS & TRIPS <br /> Cards Discussion/Support <br /> Checkers Gardening <br /> Chess Drama <br /> Puzzles Photography <br /> Billiards-Pool Cooking <br /> Ping-Pong Pets: (specify) <br /> Other:Specify) <br /> y� Attend Movies <br /> Sporting Events <br /> Plays/Museums <br /> Other: (Specify) <br />