Creating Space Conversation 2019 - Bay Area
Full Name: *
Your answer
Pronouns
Your answer
Email Address: *
Your answer
Organization or Affiliation (if any): *
Your answer
Why are you interested in attending Creating Space Bay Area? What do you wish to share or learn from attending the event? *
Your answer
What is your Superpower? (i.e. graphic design, community organizing, network weaving, etc.) *
Your answer
How did you hear about Creating Space Bay Area? *
Your answer
We strive to host inclusive events that enable all individuals to engage fully. Please let us know if you would like to request an accommodation (disability, lactation space, dietary restrictions, etc.) or if you would like to inquire about accessibility at the event:
Your answer
Please donate what you can toward the $75/per participant costs of hosting this event, We offer the following sliding scale recommendations and we will offset costs with our equity fund for those who would otherwise not be able to attend: *
Please follow this link to submit payment at your selected level: http://bit.ly/cs_bayarea
Thank you!
Submit
Never submit passwords through Google Forms.
This form was created inside of Leadership Learning Community, Community Initiatives. Report Abuse