Welcome to City of High Point Form Center

2. Thanks for Participating!

   Thank you for taking part in our StoryWalk! Please fill out the below survey to be entered into a drawing for a free Earth Day prize! Please note any information from this survey will be used solely to track participation and contact the winners about the best way to get them their prize. You will not be added to any mailing lists. 

3. 
5. What is one thing that you learned from participating in our StoryWalk?
7. Which of the following things are actions you can take to help our environment?

   1. Make sure to recycle right
   2. Only let rain go down the storm drain
   3. Don't litter
   4. Pick up after your pets go to the bathroom
   5. Always put trash in the garbage can
   6. All of the above options!
9. Name
10. Email Address*
12. Phone Number*
13. Preferred Method Of Contact*
    -- Select One --PhoneE-mail
15. Date of StoryWalk Participation*
    Date of StoryWalk Participation

    Date of StoryWalk Participation
16. Zip Code

    *note will only be used to track regions participating in the activity

18. Number of Participants*
20. Comments

    Do you have anything you would like to see in a future StoryWalk?  Do you have a location or book in mind?  Let us know!

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field