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Thank you!

While the sessions are still fresh in our minds, I would appreciate it if you would provide me with anonymous feedback on the program. What worked? What didn't work? How can this be improved for next time? Please take a few minutes to complete the questionnaire below and click SUBMIT when you are done.     

 

My Grandparent's Name *
My Grandparent's Name
My Name *
My Name
(NOT REQUIRED) Do we have permission to "grab" a public photo of you on the Internet for use on Facebook with this campaign? If so, please provide the URL in the space below.
http://
GRANDPARENT Photo *
We would love to honor your grandparent by creating an image like the one above. Please email a photo of your grandparent(s) to rich@acknowledgemedia.com. Should we be on the lookout?
Permission? *
Do we have your permission to share this information publicly?