Book a Check Your Head Workshop
Thank you for your interest in our workshops!
Please complete this form to book a Check Your Head workshop.

Questions?
Email us at contact@checkyourhead.org or call 604-709-5644 or 604-709-5682.

Contact Information
Contact name *
Your answer
Phone number *
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Email *
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Organization / School *
Your answer
Venue address *
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Workshops
For 2017/2018, we are focusing on the following workshops:

> Healthcare: The Price is Right - offered in partnership with BC Health Coalition
> Poverty & Income Inequality
> Migrant Justice
> Civic Engagement

Please specify which workshop(s) you are interested in and how many sessions: *
Your answer
Proposed workshop dates and times (please provide up to three options that work for you): *
Your answer
Participants
Our workshops are designed for groups of 30 people or less. It may be possible to accommodate a larger group. Once you have submitted your workshop interest, we will be in contact with more details.
Who is this workshop for? Briefly describe the group/participants, their age group/grade, and the organization/program/school. *
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How many participants will be in this workshop? *
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Which of the following best describes the youth you serve? (Select all that apply) *
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Workshop Fees
The full cost of a standard 90-minute Check Your Head workshop is $250. We actively fundraise throughout the year to make our workshops accessible to community groups and public schools with limited budgets.

Our recommended sliding scale / pay-what-you-can fees are as follows:
$0-50 Grassroots and community groups, small non-profit organizations
$50-100 Medium-sized non-profits, youth programs, inner city/alternative schools
$100-150 Public schools
$200-250 Private schools, large non-profits and programs

Please indicate here how much you are able to contribute towards the cost of the workshop. *
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Other
I can provide the following audiovisual equipment for the workshop:
How did you hear about us?
By submitting this form you are agreeing to signing up for the Check Your Head Teacher's Newsletter and the general, bi-monthly newsletter.
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