December 1, 2018 Workshop Registration
First name *
Your answer
Last name *
Your answer
Home Address *
Your answer
Phone number where you can be reached. *
Your answer
Email address *
Your answer
What would you like for lunch? Lunch will be brought in from Groucho's Deli. *
Would you like a lunch add-on? *
Special Instructions for your lunch
Your answer
Will you be able and willing to take a short walk outside, weather permitting? *
Are you over the age of 18? *
Do you have any special needs or considerations the presenter needs to be aware of? *
Your answer
What are your personal goals for the workshop? *
Your answer
Please bring a writing utensil and a copy of a book you have read. You may bring your laptop, if you desire. *
How did you hear about the workshop?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service