Sleepout sign-up Form

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The sleepout will be happening on Saturday, December 5th
At 5:30 pm, the community drive-in vigil will start at Plymouth Congregational Church
At 7:30 pm, we will have a 30 minute educational session for middle school youth
At 8:00 pm, we will begin the virtual educational hour for high school youth
Then we will sleep outside of our individual homes
At 8:00 am on Sunday, December 6th, we will have a brief virtual debriefing

Email *

What is your name? *

What is your cell phone number?

What congregation are you a part of (if any) *

Do you have a plan for who you plan to sleep out with and where? (Note that we ask that you abide by Larimer County guidelines and limit gatherings to no more than 2 households) *

Will you need help getting a cardboard box? *

Yes

Other:

Are you interested in having a small breakfast dropped off the morning of December 6th? *

Yes

Other:

If yes, please provide an address to drop off at. If you are not yet sure where you will be sleeping out, plan to send the address to klnelson800@gmail.com by December 5th

Are you interested in setting up a GoFundMe page and asking for donations for the N2N homelessness prevention program on your behalf? (We would provide you assistance setting up your page) *

Yes

Other:

While this event should be a meaningful and even fun experience, it also surrounds a serious topic and will require participation and respect. Please check each box to agree to the guidelines below *

I will be respectful to speakers, facilitators, and fellow participants throughout the event

I will participate in discussions, reflections, and activities to the best of my comfort and ability

I will follow COVID-19 guidelines established by the state and county

I understand that I will be sleeping out at my own risk

Required

Electronic signature *

Date *

YYYY

A copy of your responses will be emailed to the address you provided.

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