Affirmations Lesbian/ Gay Community Center banner montage-v3
search

Affirmations Social & Recreation Program Survey 2008

Please indicate whether or not you would like to participate in these activities at Affirmations or with Affirmations

1.
Question - Not Required - Events
Please make up to 8 selections from the choices below.

2.

3.
Question - Not Required - Sports Activities - Fitness & Movement
Please make up to 9 selections from the choices below.

4.

5.
Question - Not Required - Trips & Outings
Please make up to 5 selections from the choices below.

6.

7.
Question - Not Required - Families
Please make up to 4 selections from the choices below.

8.

9.
Question - Not Required - Workshops & Classes
Please make up to 13 selections from the choices below.

10.

*11.


*12.


*13.


*14.


*15.


*16.  
Visually impaired? Click here to have an audio challenge played.  You will then need to enter the code that is spelled out.
Change image
CAPTCHA image

   Please leave this field empty

     

Send This Page to a Friend    Print This Page