Request edit access
Host an Event
Please fill out the form below with information about your event. If you have not received a response within two weeks, please send a message to Janet Zwick at janet@freemindsbookclub.org.
Email address *
Nature of your inquiry *
Name *
Email Address *
Organization
Phone *
Address *
City *
State *
Zip/Post Code *
Number of Participants (guesstimate if necessary)
Requested Dates (Dates are flexible) *
Time/time-frame?
Tell us a little bit about your group so we can send the most appropriate poems (for example, your group is already familiar with the issues surrounding incarceration). *
Message *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Free Minds Book Club & Writing Workshop. Report Abuse