Interest Form: 2023 CRW In-Person Writing Retreat

Interest Form: 2023 CRW In-Person Writing Retreat
We are currently planning the CRW Writing Retreat for 2023, and to make sure we have the best retreat we can, we need a little information from our members. Please complete the below survey no later than [DATE].
Name*

First NameLast Name
Email*
example@example.com
Please select the locations where you would like to attend a weekend writing retreat (Check all that apply):*

(AZ) Phoenix(CA) Los Angeles(CA) Orange County(CA) Palm Springs(CA) Temecula(CT) Norwichtown(FL) Jacksonville(FL) Sarasota(IA) Des Moines(IL) Alton(IL) Springfield(IL) Urbana-Champaign(IN) Evansville(IN) Ft. Wayne(IN) Indianapolis(KS) Ft. Hayes(KS) Kansas City(KY) Berea(KY) Lexington(MA) Lowell(MA) Newburyport(MA) Springfield(ME) Augusta(ME) Bangor(ME) Belfast(ME) Castine(ME) Rockport(MI) Kalamazoo(MO) Columbia(MO) Lake of the Ozarks(NC) Cape Hatteras(NC) Wilmington(NC) WInston-Salem(NE) Omaha(NE) Platte(NH) Conway(NH) Hampton Beach(NV) Las Vegas(NY) Albany(NY) Ithaca(NY) Rochester(NY) Saratoga Springs(OH) Canton(OH) Cincinnati(OH) Xenia(OR) Portland(OR) Seattle(PA) Philadelphia(PA) Pittsburgh(PA) Poconos(RI) Rhode Island(SC) Columbia(SC) Greenville(TN) Chattanooga(TN) Knoxville(TN) Murfreesboro(TX) Lubbock(VA) Charlottesville(VA) Lynchburg(VA) Richmond(VA) Winchester(VT) Burlington(VT) StoweOther
For any of the above locations, do you know of any free venues where CRW members could meet to write during the day for these writing retreats?
What is your budget for lodging for two nights?
Which lodging arrangement would you prefer? (Check all that apply)

A shared room at a group AirBnbA private room at a group AirBnbHotel blockFinding my own accommodations
When would you like the writing retreat to take place? (Check all that apply)

June 30-July 2, 2023July 28-30, 2023 (overlaps with conference)October 27-29, 2023November 3-5, 2023November 10-12, 2023November 17-19, 2023Other suggested month in 2023
Level of Interest*

5/5 Go ahead and count me in!4/5 Barring any outstanding factors, I plan to be there!3/5 I am optimistic I'll attend unless it's cost/location/date prohibitive.2/5 I might be interested, but need to know details.1/5 I am not very likely to attend, but never say never.
Any additional comments:
Should be Empty: