Kids Up Front presents Stranded: Water Valley 2019
Application form to be a participant at Stranded: Water Valley 2019 August 9-11. The information we collect will not be shared or used for any other purposes other than to determine our competitors for 2019.

"I thought it was me doing something for Kids Up Front Calgary by raising donations for their cause, but in reality they gave us the best, life-changing experience I could have ever imagined." - Past Contestant

Email address *
Phone number *
Your answer
Home address and postal code *
Your answer
What is your preferred method of contact? *
Stranded: Water Valley runs August 9-11
- You must be able to commit to attending all three days August 9-11, (likely arriving 3:30 p.m. Friday to start and getting back to Calgary around 10 p.m. Sunday) - no late arrivals or early departures.

- All credit cards will be kept on file in case the minimum donation amount is not met. You must have a card with at least a $2,500 limit, or post-dated a cheque for us to use if credit card limit isn't high enough.

- Participants will have several months to fundraise up the the $2,500 minimum. We will give you all the tools required, will share on our social channels and can offer ideas that were successful last year. The minimum MUST be met in order to participate. As per our fundraising agreement, if you fail to raise the minimum amount all funds will be forfeited to Kids Up Front.

- This event will run regardless of the weather (rain or shine) and can be very taxing, both mentally and physically. It is the full experience with tribal council, a video crew and more. Please consider this as you apply.

- Please note that we send event correspondence frequently.

- Awards and incentives are given to those who go above and beyond the fundraising minimum.

What is your full name? *
Your answer
What is your occupation and where do you work? *
Your answer
How old are you? *
Your answer
What is your birthday? *
MM
/
DD
/
YYYY
Height, weight and t-shirt size
Your answer
Do you have any health concerns, allergies, food preferences or medications we should be made aware of that may be of concern or prevent you from participating? *
If you do have health concerns, please list them here:
Your answer
Are you willing to provide a police background check, and if accepted would you be able to submit one? *
Why do you want to compete in Stranded: Water Valley? *
Your answer
Where did you hear about Stranded: Water Valley? *
Your answer
What kind of a competitor would your friends and family say you would be?
Your answer
Based off of your qualities, strengths and personality, why would you make a great Stranded: Water Valley contestant? *
Your answer
How do you plan to fundraise $2,500 or more? *
Your answer
Who would be your biggest supporters?
Your answer
Have you ever fundraised before? If so, for what?
Your answer
What is the maximum amount you think you can realistically fundraise? *
Do you receive volunteer or corporate matching from your employer? We recommend talking to your employer to match or contribute. *
Given the structure and capacity of the event, one player is voted out in the early stages of the event (excluding the top fundraisers). How would you handle this if it happened to you? *
Your answer
Have you watched the TV show Survivor? *
Are you OK to be an alternate if not initially chosen (if another candidate needs to be replaced in June or July)? *
Do you have a friend or significant other that could replace you if necessary (in the event of injury or emergency)? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service
Google Forms