Surf City 2019 Interest Survey - NOTE: Completing this survey will save your student's spot on the trip through January 2019 without payment needed. $100 Deposit is due on Jan. 30 to maintain reserved spots.

Question Title

* 1. Which of your children in grades 5-8 is interested in Surf City 2019 (July 21-26, 2019)?

Student #1

Student #2

Student #3

Question Title

* 2. How interested is your student(s) in attending Surf City 2019 (July 21-26, 2019)?

	Not Interested	Somewhat Interested	Very Interested
Student #1	Student #1 Not Interested	Student #1 Somewhat Interested	Student #1 Very Interested
Student #2	Student #2 Not Interested	Student #2 Somewhat Interested	Student #2 Very Interested
Student #3	Student #3 Not Interested	Student #3 Somewhat Interested	Student #3 Very Interested

Question Title

* 3. Has your student(s) participated in a past Surf City trip?

	Yes	No
Student #1	Student #1 Yes	Student #1 No
Student #2	Student #2 Yes	Student #2 No
Student #3	Student #3 Yes	Student #3 No

Question Title

* 4. The cost for Surf City 2019 is $550/person. Will this cost impact your final decision regarding your student(s)' participation in Surf City 2019?

No

Possibly

Somewhat

Absolutely

Question Title

* 5. Would you or your spouse be interested in attending this trip as a chaperone?

No thanks

Possibly

Yes, Somewhat Interested

Yes, Very Interested

Question Title

* 6. Would you attend an informational meeting regarding this trip if we offered one?

Probably not

Possibly

Yes

Question Title

* 7. Is your student interested in participating in our Spaghetti Dinner & Silent Auction Fundraiser on March 10, 2019?

No

Possibly

Yes, Somewhat Interested

Yes, Very Interested

Question Title

* 8. Would you or your spouse be willing to help out with the 2019 Spaghetti Dinner & Silent Auction Fundraiser on March 10? (Check all that apply)

No thanks

Possibly

Yes, with set-up and/or clean-up of the event

Yes, with the Silent Auction

Yes, in the kitchen or dining room

Yes, anywhere you need me

Question Title

* 9. What questions or concerns do you currently have regarding the trip?

Question Title

* 10. How would you like to receive additional information about the trip & fundraising opportunities?

Phone call

Text

Email

Include phone number or email address