Workshop Registration Questionnaire
Becoming Collaborative - The Missing Link
Friday, October 4 at 5:30 pm - Sunday, October 6 at 8:30 pm

512 Scott Drive, Silver Spring MD 20904

2-day intensive workshop
A year of interactive online community of practice experience
Lodging (shared rooms) and meals from Friday dinner through Monday breakfast

I wish to be informed!
To remain engaged with the knowledge sharing and be informed of future learning opportunities, click Yes below.
Contact Information
Governance Alive does not share your contact information with third parties! We require it only to provide workshop updates and notify participants of last minute developments.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Mobile Number *
Your answer
Transit *
Food & Drinks
Help us stack the kitchen with the right ingredients for you!
Dietary Restrictions / Allergies
Your answer
What condiments, snacks, drinks, breakfast and lunch foods make you feel comfortable and well cared for (i.e. creamer, decaf, trail mix, non caloric sweetener, chocolate, etc.)? The more you tell us the better our grocery list will match your wishes.
Your answer
Kitchen *
Rooms & Accommodations
Gender *
This information is required to coordinate room assignments.
Privacy *
Share a bed?
Is someone else coming that you would like to share a bed with? We may have a queen bed available. Share name below.
Your answer
Check-Out *
More to say?
What else do we need to know to meet your needs and make you comfortable at this workshop?
Your answer
When can we call?
John and/or Karen would like to check in with you before the workshop. Please list below best times to reach you (including your time zone). We'll follow up by email to firm up a time.
Your answer
I'm coming to this workshop because . . .
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