National Youth Gathering Survey

Question Title

* 1. Insert student contact information

Name

Email Address

Phone Number

Question Title

* 2. Insert Parent/ Emergency Contact Information

Name

Email Address

Phone Number

Question Title

* 3. Are you willing to be at 80% or more of the fundraisers?
(If no, be advised you will be expected to pay the full gathering attendance cost.)

Yes

No

Question Title

* 4. Will you need financial assistance to attend.
The current cost of the gathering is estimated at $2000. If participating in fundraising, the expected cost per participant will be $500.

Yes

No

Question Title

* 5. What would be the best method to contact you?

Groupme

Text

Email

Phone Call

Other (please specify)