Elmira Catholic Community Fun Activities Survey
Are you ready to have some FUN?

We want to make sure that everyone in the Elmira Catholic Community feels a true sense of community, family and fun. Please fill out this entire questionnaire so we can better understand what you are interested in. We'll do our best to arrange some activities that many parishioners enjoy. The contact information you provide is very important. It will be used to communicate important information about upcoming events that are of interest to you. We will not use this contact information in any other way.

***AND PLEASE DON'T FORGET TO CLICK THE "SUBMIT" BUTTON AT THE BOTTOM OF THIS PAGE!!!***
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Name (First and Last): *
Age:
Email Address:
Phone Number:
Preferred Communication
Clear selection
If Other was selected, please explain how you'd like to be contacted
Dances
Please use the drop down menu to indicate your level of interest this activity:
Scrabble or other Board Games
Please use the drop down menu to indicate your level of interest this activity:
If you were interested in board games, please list the types of board games you are most interested in:
Cards (any and all types of card games)
Please use the drop down menu to indicate your level of interest this activity:
If you were interested in card games, please list the types of card games you are most interested in:
Bowling
Please use the drop down menu to indicate your level of interest this activity:
Wine Tour
Please use the drop down menu to indicate your level of interest this activity:
Golf
Please use the drop down menu to indicate your level of interest this activity:
Mini Golf (putt putt)
Please use the drop down menu to indicate your level of interest this activities:
Wii Games
Please use the drop down menu to indicate your level of interest this activity:  
Bingo
Please use the drop down menu to indicate your level of interest this activity:
Hikes
Please use the drop down menu to indicate your level of interest this activity:
Walks
Please use the drop down menu to indicate your level of interest this activity:
Runs
Please use the drop down menu to indicate your level of interest this activities:
Bike Rides
Please use the drop down menu to indicate your level of interest this activity:
Basketball
Please use the drop down menu to indicate your level of interest this activity:
Book Club
Please use the drop down menu to indicate your level of interest this activity:
Parents Night Out - Where parents could leave children with appropriate supervision from approximately 6pm to 9:30pm  
Please use the drop down menu to indicate your level of interest this activity:
Please specify other events that you would be interested in:
I might like to attend/participate in some FUN events as often as:
The times I would be most likely to attend an event would be (check all that apply):
Depending on the event, as you can imagine, we might need some help. We've all heard that "many hands make light work" --- Please let us know if you would be willing lend a hand (it’s hard to say what is needed at this time, but just knowing that you might be able to assist us, even in some small way, would be greatly appreciated)!
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