Ph: 204-388-5408 |
info@risingabove.ca
|
Subscribe
Navigation
Home
About Us
History
Mission Statement
Newsletter
Board of Directors
Staff
What We Do
Programs
Rising Above Band
Parry Sound/Muskoka
Resources
Books and CDs
Partners
Events
Current Events
Past Events
Contact Us
Hope is Rising Registration
February 27
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Province
*
-Select-
BC
AB
SK
MB
ON
QC
NB
NS
PE
NF
YT
NT
NU
USA
. . . . . . . . . .
Please take a moment to answer the following questions which provides valuable statistics to guide future event planning. This data will only be used by Rising Above.
1. Age
-Select-
Younger than 20
21 to 35
36 to 50
51 to 65
Over 65
2. How did you first find out about this fundraiser?
-Select-
Through Rising Above’s Facebook Page
Through Facebook other than Rising Above’s
An email from Rising Above
From a friend, either verbally or by email.
Other (Please specify in comments below)
Other:
3. On a scale of 1 to 5, how familiar are you with Rising Above? (1 is completely unfamiliar, 5 is extremely familiar)
-Select-
1
2
3
4
5
4. Are you of Indigenous decent?
Yes
No
Submit