Play Space Improvements – Eyemouth Play Park & Wheeled Sports Facility - Page 1 of 5 - Scottish Borders Council

Page 1 of 5

About You

1. About you - The person completing this form is a

(Required) Child/ young person Adult (on behalf of a child/children of the following age(s)

2. Age(s) of child/children (please tick)

(Required) Aged 0-2 Aged 3 to 5 Aged 6 to 12 Aged 13+

3. Do you live in/around Eyemouth ?

(Required) Yes No