Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Convivio Contact Form
Corpus Christi ICT Convivio is a free and sacred Adults only space for Community, Connections & Conversations over a meal. Pre-registration is required. /
Convivio es un espacio libre y sagrado
solo para adultos
para Comunidad, Conexiones y Conversaciones
durante una comida.
Se requiere
inscripción.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
CONVIVIO
Full Name (First & Last) / Nombre completo (nombre y apellido)
*
Your answer
ADDRESS (Street, house number, city and zip code) / Su DIRECCIÓN (numero de casa, calle, ciudad, código postal)
*
Your answer
Phone number for Text Messages / Su Número de teléfono para mensajes de texto
*
Your answer
How many adults will be attending - Provide their full name? (
Regrets, children are not permitted at this time; Maximum 2 people per household
) /
¿Cuántos adultos asistirán - Proporciona sus nombres completos? (
Lo sentimos, no se permiten niños en este momento; Máximo 2 personas por hogar
)
*
Your answer
How were you referred to Corpus Christi ICT? / ¿Cómo se enteró de Corpus Christi ICT?
*
Friends / Amigos
FaceBook or Social Media / FaceBook o redes sociales
Event / Evento
Word of Mouth / De boca a boca
Other / Otra Manera
Convivio is currently held monthly - you will be invited to the next gathering should space permit so please check your email for an invitation/ Convivio se celebra mensualmente. Serás invitado a la próxima reunión si el espacio lo permite, así que revisa tu correo electrónico para recibir una invitación.
*
MM
/
DD
/
YYYY
Do you have any food allergies? /
¿Tiene alguna alergia alimentaria? (NOTE/NOTA:
soup & bread is served /
Se sirve pan y sopa)
*
Your answer
What skill, talent, knowledge or gift do you have that you would be willing to share with others? / ¿Qué habilidad, talento, conocimiento o don tienes que estarías dispuesto a compartir con los demás?
*
Your answer
How do you want us to contact you? / ¿Cómo desea que nos comuniquemos con usted?
*
Telephone / Teléfono
Email / Correo Electronico
Questions or Comments / Preguntas o Comentarios
Your answer
Would You Like To Join our Private FaceBook Group?
*
Yes / Sí. Send Your Request here/Envíe su solicitud aquí:
https://www.facebook.com/share/g/1BTuSUUJ6V/
No. Find our Public Page here/Encuentre nuestra página pública aquí:
https://www.facebook.com/CorpusChristiICT/
Required
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
