Resilience Outdoor Conference Workshop Proposal Form
This form is to help us get a better sense of what your workshop is about. If your workshop is accepted we will use this info to provide you with you with resources and support. Please fill out the form to the best of your knowledge. Remember the sky is the limit to what we can do for our community. Thank you!
Preferred Name *
Legal Name *
Preferred Pronoun *
Required
Are you Lesbian, Gay, Bisexual, Trans or Queer (LGBTQ) *
Are you Black, Indigenous or a Person of Color (BIPOC)? *
Email *
Cell *
Where do you live?
City, State
Emergency Contact Name & Number *
Who can we notify in case of an emergency?
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