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Youth Jam Survey
Complete the information below and enter our RAFFLE!
*** GRAND PRIZE: $250 GIFT CERTIFICATE TO THE IDAHO FALLS ARTS COUNCIL, valid for season shows, art classes, ARTitorium admissions, and more!
*** 10 X SEASON PASSES TO ARTITORIUM ON BROADWAY ***
Have you been to Youth Jam before?
*
Yes
No
Have you ever visited ARTitorium on Broadway?
*
Yes
No
Have you ever attended a show at the Colonial Theater?
*
Yes
No
Please enter your zip code:
*
Total number of people in your household?
*
Of these, please list the number of adults:
Number of kids in pre-K:
Number of kids in elementary:
Number of kids in junior high / middle school:
Number of kids in high school:
Number of kids 18yrs+:
Total household income:
*
Less than $25,000
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$149,999
$150,000-$199,999
Over $200,000
Retired
Race:
*
White
Hispanic
African American
Asian
Native American
Other
If you would like to enter our raffle, please enter your email address:
Submit
