1.First and Last Name

2.What is your mailing address for future events? (optional)

3.E-Mail Address

4.Phone Number

5.How many people came with you today? 

2

3

4

5

6

7+

6.How did you hear about us? 

Facebook

Word of Mouth

Online Search

Email

Other (please specify)

7.Are you interested in volunteering at Camp Koinonia? Select Options Below

Yes, weekends and overnight opportunities

Yes, single day, few hours here and few hours there

Yes, during our day camp programs in the summer

Yes, during special events like these

No thanks. 

8.Are you interested in more information about our programs? Select all below

Day Camp

Overnight Sleepaway Camp

Day Events 

Summer Staff Opportunities

Volunteer Events

No Thanks

9.Questions and Comments about the event?