* 1. How many children/teens will be joining us for Nature Camp this summer?
–Please select–123456

Child 1 Age
Child 2 Age
Child 3 Age
Child 4 Age
Child 5 Age
Child 6 Age

* 2. Which dates would you be interested in signing up for? (Note that this is NOT a commitment to register, only a question of interest.)
July 8-10
July 15-19
July 22-26
July 29-Aug 2
August 5-9
August 12-16
August 19-23
August 26-30

* 3. How much of a deposit would you be able to put down for each session?
–Please select–$25 per session$50 per sessionI can pay the full amountI will need a full scholarship

* 4. Would you send your child to Nature Camp on July 1-4 if it was available to a small group?
–Please select–YesNo

* 5. If Nature Camp was offered year round, would you use it for childcare when schools are closed for holidays and vacations?
–Please select–YesNo

* 6. Would you be interested in coming to a community meal/event one evening a month at Koinonia? We would offer crafts, family board games, and bible study for those who wish to participate.
–Please select–YesNo

7. If yes, what evening during the week works best for you?
–Please select–WednesdayThursday

* 8. Would you like to be added to our email list to stay up to date on all things happening at Koinonia?
–Please select–YesNo

 
Please share your contact information with us if you would like to, or you are welcome to submit your responses anonymously if you prefer.

First name:
Last name:
Email:
Phone:
City:
State: