AMCC Adult Learn to Curl Contact Survey

More info: http://www.curlamcc.ca/index.php/learn-to-curl

Thank you for your interest in AMCC's Adult Learn to Curl program. Please complete our short survey (11 questions, 3 minutes typical time spent), and our program facilitator will contact you with additional information within 2-3 business days.

Note: Learn to Curl is not a "clinic" (which typically lasts a few hours) - it is a multi-week instructional league experience specifically designed for new curlers. The program will run during the 11:00 am - 1:00 pm time slot on Sundays, October 22, 2017 - March 11, 2018. A typical session will include about 80 minutes of on-ice activity and 30 minutes of discussion indoors.

Mobile users: please do not click the "OK" button - just scroll down to begin displaying and answering the questions, and click "Done" at the bottom of the page when done.

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* 1. What is your gender?

Female

Male

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* 2. What is your first name?

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* 3. What is your last name?

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* 4. At what email address would you like to be contacted?

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* 5. What is your phone number and the best time to contact you?

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* 6. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 7. I would like to:

Register for the program immediately - please hold a spot and contact me with pricing information and other participant details.

Obtain more information - please contact me before I commit.

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* 8. I am most interested in:

Conventional curling (sliding from the hack)

Stick curling (stand-up delivery, good for people with knee injuries)

Not sure

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* 9. Where did you hear about this program?

Facebook / Twitter / Instagram

E-mail

Poster

Word of mouth

Other (please specify)

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* 10. Please select your shoe size:

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 1. What is your gender?

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* 2. What is your first name?

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* 3. What is your last name?

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* 4. At what email address would you like to be contacted?

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* 5. What is your phone number and the best time to contact you?

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* 6. What is your age?

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* 7. I would like to:

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* 8. I am most interested in:

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* 9. Where did you hear about this program?

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* 10. Please select your shoe size:

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* 11. Please enter additional comments or questions (optional):