BCCC 2018 Participant Registration Form
The following questions will help us to organize a flow for our time together in the Social Artistry Introduction and Creative Leaders' Training. If you will only be attending from January 25-28, 2018, please complete only sections 1 & 2. Please include all possible information.

If you are attending the Introduction to Social Artistry, Creative Leaders' Training or Story Bridge Facilitator Training, please complete all 5 sections. Consider, as you move through this form what your intentions and expectations are for your time at the conference. If you have questions or comments about any aspect, please include them in the final paragraph space or email them to Tannur Ali at ilogicalbany@gmail.com
Email address *
Which portions of the conference will you attend? *
Required
Full Name *
Your answer
Name you prefer
Your answer
Mobile Phone Number *
Your answer
Email Address *
Your answer
Mailing Address
Your answer
Emergency Contact (Name, Phone Number) *
Your answer
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