Name
Email
Phone
To increase the safety of the workshop, it may be helpful for everyone to know who is coming to the workshop prior to the first day. We will provide the names of those who are attending the workshop, if we have your consent, on April 14th, 2018.
It is okay to share my name with the group
Where did you hear about this workshop?
Do you identify as a POC?
Would a group restricted to POC benefit you?
Other comments or questions
Thank you for filling out this form. We will be in touch soon.
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