Camp Gender Blender 2019 - Camper Questionnaire
Welcome! And thanks for your interest in joining Camp Gender Blender's contribution to BurningMan 2019!
This questionnaire provides camp leaders with necessary information to figure out if Camp Gender Blender is a good fit as your camp; as well as provide you some general understandings to help decide if we're the camp for you.
Though there are many questions, and some are not required, please thoroughly answer as many questions as possible.
Also, fill this out only for yourself. If there are others you plan to camp with, there will be a question addressing that, but each individual needs to fill out this form and only fill it for themselves.
Camp Cost Sharing for 2019 is $350.00 USD, which includes a refundable Camp Commitment Bond of $100.00 USD to be returned post-event. More info on Camp Cost Sharing and Financial scholarships available on our website.
Gender Blender Leadership Team
Sign in to Google
to save your progress.
(everyday preferred name - doesn't have to be legal name - but please include a last name)
Playa name or nickname
(if you don't have one, just leave blank)
Do you have a Facebook account?
(if you're on FB, please join
Yes, it's like a bad addiction
Yes, it's my lifeline to the world around me
Yeah, but I'm rarely on there
(ex. "he", "she", "they", "xie/hir", "unicorn", "hey you", ...)
Where do you live?
City, State, Country
What do you do?
(... to pay the bills, or ... for recreation, or ... to contribute to the world ... however you want to answer)
How did you hear about Gender Blenders?
I've camped with Gender Blenders before
I stumbled across Gender Blenders on playa before
I stumbled across Gender Blenders at a Regional before
through a Gender Blenders event or fundraiser
the Gender Blenders Facebook page
the Gender Blenders website
saw a Gender Blender flyer / sticker
the Burning Man website
What, When, Where (WWW) guide in previous BM years
the Queer Burners website/FB page/mailing list
another BM camp's website
through a friend
Are you planning on going to Burning Man this year?
Maybe (dependent on other factors)
Maybe (just haven't decided yet)
Page 1 of 5
Never submit passwords through Google Forms.
This form was created inside of Gender Blenders.