Community Interest FormΔHarrietta Village Community Interest FormLet us know how we best can serve you, the Community!Have you attended, been involved in, or benefited from local resources, events, or groups? Yes NoWhich ones? (check all that apply) Quilt Guild Civic Club Firewood Ministry Food & Item Pantry Garden Club Community Meals Blueberry Festival Religious Services Fire Department Youth Club Other (add in text box below)Are you interested in attending, being involved in, or benefiting from local resources, events, or groups? Yes NoType of Event(s) or Resource(s) (check all that apply) Meals (Potlucks) Child & Teen Activities Religious Services Book Club (secular) Study Group (religious) Community Involvement (ie Civic Club) Village Beautification Educational (workshops or classes) Free Food & Item Resources Other (add in text box below)Age Range(s) of Anyone Interested (check all that apply) 12 & under 13-17 18-24 25-34 35-45 45-54 55-64 65+What is your availability or preferred time(s) to attend or be involved in events?Week of the Month Preference (check all that apply) First Week Second Week Third Week Fourth WeekTime of Day Preference (check all that apply) Morning (9-11am) Afternoon (12-5pm) Evening (6-8pm)Day of the Week Preference (check all that apply) Sunday Monday Tuesday Wednesday Thursday Friday SaturdayAre there any past local resources, events, or groups you'd like to bring back? Yes NoWhich ones? (check all that apply) Community Night (HUMC Potluck) Ecumenical Service Street Dances 5K (Turkey Run) Movie Nights July 4th Picnic and/or Fireworks Youth Club Other (add in text box below)What changes would you like to see in the community?Would you like us to contact you about upcoming local resources, events, or groups? Yes NoWould you like to volunteer for local resources, events, or groups? Yes NoWould you like to donate for or to local resources, events, or groups? Monetary Donations Item Donations NoFirst NameLast NamePhoneEmailPrefered Method of Contact Call Text EmailAdd additional comments and/or questions below:Would you be interested in a monthly community movie screening?CLICK HERE FOR THE MOVIE SURVEYSUBMIT FEEDBACK