1. Name (or for privacy first name-last initial or any
2. Which days can you attend, if not all?
3. We would like to follow up with a call or email. How can we best
4. Where did you hear about this event?
Locations are all handicap accessible.
Please list other needs: (like childcare, translation, hearing impaired
6. If you would like us to forward information or contact to friends
and associates or to recommend organizations that might spread the
word, please let us know.
7. If you would like, please let us know what you are hoping for,
your goals or your interest in this workshop.
This is a free event, but if you would like to make
a donation please visit our Paypal site:
or send a check payable to:
PO Box 210256
For tax deductible donations, please email: firstname.lastname@example.org