Registration Form: Share a Story/Sculpt an Image

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Dec. 12th, Faith Presbyterian Church, Fellowship Hall (5400 Loch Raven Blvd)

Please check the boxes that apply for your planned for participation. *

I plan to participate in Part I: Share a Story (10am -- 12:30pm)

I plan to participate in both Part I and II: Share a Story/Sculpt and Image (1:30 -- 4:00pm)

I will be joining everyone for lunch (around 12:30pm)

I can make the afternoon and do Part II only.

Required

First Name *

Last Name *

Email *

Phone *

What is the name of your neighborhood?

To what age range do you belong?

Under 18

18-35 years old

36 -- 49 years old

50 -- 64 years old

65 and older

Clear selection

To what age range do you belong?

Under 18

18-35 years old

36 -- 49 years old

50 -- 64 years old

65 and older

Clear selection

Submit

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