Name (first, middle, last)

I would prefer to be contacted by: I would prefer to be contacted by: email phone (text ok) phone (text not ok) home address

Preferred email/phone/address

When can we contact you? (check all that apply) When can we contact you? (check all that apply) morning (8am - 12pm) afternoon (12-4pm) evening (4-8pm) Sunday Monday Tuesday Wednesday Thursday Friday Saturday

What would you like to share (e.g. stories from your childhood, two specific experiences, or anything else)?