Sheet'ká Family Challenge 2023

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We want to know how many families participate in the Outdoor Challenge. Demographic information will be used for grant reporting purposes only and remain private. Please help us by signing up your family. Your registration form will be entered into a drawing for a prize.

Your Preferred Name

Phone

Number of participating family members (under 24 years old)

Number of participating family members (24 and older)

Race/ethnicity of family members. Click all that apply. (Optional) Helps us with grant reporting. Remains confidential.

White

Black / African American

Asian

Alaska Native / American Indian

Native Hawaiian / Pacific Islander

Hispanic / Latino

Two or more

Other:

What would make community events more accessible for your family?

Would you and your family be willing to be featured in a radio story, newspaper article, or on social media?

Maybe

Yes

Clear selection

Are you willing to participate in a post-survey to help us understand the impact of these activities? You will be entered into a drawing for a gift card.

Yes

Clear selection

Submit

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