Please fill out the information below to get started.
Name of organization:
Brief description of organization:
First & last name of host:
Date of workshop:
Time of workshop:
Address of workshop:
City, State & Zip code of workshop:
Location of workshop (please include instructions for entrance into building and room location):
Type of gathering: (ie: book club, co-workers, sorority, etc):
Expected number of attendees:
Age range of attendees (check all that apply):
18-25 years26-39 years40-55 years55+ years
In attendance (check all that apply):
Your phone number (number we can reach you at the time of the workshop):
Comments are closed.