Tri-State National Workshop 2018 - Registration Form
Please fill out this form to register for our upcoming workshop. Event details:
Registration & Welcome Potluck: Friday March 9, 6–8:30pm at the NYC Center (245 W. 29th St, 6th Fl. New York, NY 10001)
Workshop: Saturday March 10, 10am - 9pm & Sunday March 11, 10am - 4pm @ St James Church (84-07 Broadway, Elmhurst, NY 11373)
First Name *
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Last Name *
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Home Address with city, state, & zip code *
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Phone Number *
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Email address *
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Re-type email address *
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Home branch & location *
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Instructor Status *
Emergency Contact Name *
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Emergency Contact Phone *
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