Interest Survey

* Required

Title
DR MISS MR MRS MS

First Name *

Last Name *

Email Address *

Phone Number *

I can help in the following ways with Secuelas:
-- Please select -- Being a greeter Bringing a food dish Helping set up Helping clean up Fourth Day Speaker Leading the devotional Singing with the worship team Playing with the worship team

What instrument do you play?

Transportation:
I need a ride to Secuelas/community events
I can provide a ride for someone to Secuelas/community events

Do you have children ages 0-4 who prevent you from attending Secuelas?
yes
no

If babysitting were provided, would you attend Secuelas?
yes
no
not applicable

Would you be willing to pay up to $5.00 for babysitting at Secuela?
yes
no
not applicable

Would you volunteer to babysit 1-2 times a year if compensated?
yes
no

I would like an email or phone call about Reunion Groups.
yes

I can help in the following ways for Weekends:
-- Please select -- Set up or clean up at the retreat site or closing Food Palanca I am willing to help in any way needed Serving on the team

I can help in the following ways with communications:
-- Please select -- Phone calls Website Newsletter Database upkeep

Would you consider a leadership position (Pres, VP, Sec, Tres, etc.) for a two year term?
Yes
Maybe

Do you have other skills that you would be willing to share with the community? If so, please list:

Enter Word Verification in box below *