AVP ROC NY Workshop Registration Form

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Please note:
This updated registration form is for all AVP workshops/trainings being offered by AVPROCNY! We're excited to have you here! Unless you tell us otherwise, your photo may be used for future AVP publicity.

Registration will be closed a week prior to the start of the workshop. Unless otherwise noted, location will be at the M.K. Gandhi Institute (929 South Plymouth Ave, Rochester). Workshops generally run Friday 5:30-8:30, Sat 9-5:30, and Sun 10-4:30. Specific details will be emailed prior to workshop.

Email *

First and Last Name *

Street Address

City, State, Zip Code

Phone number *

Age (Some workshops have age restrictions.) *

16 years or under

17-19 years old

20 years or older

If you are 18 or under, please provide a parent or guardian's phone number.

Preferred method of contact *

Phone

Text

Other:

Required

I am registering for: *

AVP Training for Facilitators: January 23-25, 2026 (Will be capped at 12 participants)

AVP Basic Workshop: February 27-March 1 2026

In order to complete your registration, please pay via this link: https://www.paypal.com/ncp/payment/BFZZU3Q9L7HYJ

For scholarship information or to pay in person, email avprocny@gmail.com.

$15.00 (per each Mini)

$50.00 (per each workshop/Basic, Adv. and T4F)

I am willing to donate and help defray the cost of the workshop for those in need (any amount is appreciated!)

I am with a sponsored group or school.

Required

Facilitator Status: Please check all that apply.

I am not an AVP Facilitator and am participating for my own growth.

I am not an AVP facilitator and am participating in this training as a step towards becoming one.

I am an AVP Facilitator and am participating out of a personal desire for more experience.

I have completed this level of workshop before and I'm taking this training as a refresher.

I am participating as a supporter for the workshop

Other:

If there is anything that the team should be aware of that could impact your full participation in this workshop or training, please share here.

If you have any dietary restrictions, please let us know here (for full workshops only).

Any other comments or questions?

Send me a copy of my responses.

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