You will be contacted to schedule a specific day and time after form is received. Payments will need to be received 24 hours in advance for online assessments using Paypal.  You may choose to have an hour time slot at the scheduled park days in and around Columbus, or come to my home in Gahanna.  

Name *
Name
Phone *
Phone
Summer Park Days
If you would like to participate in a park day assessment please select your preferred location and date below.
Preferred Month
Check all that apply.
Preferred Day
Check all that apply.
Preferred Time
Check all that apply.