Community Organizing Workshop Registration Form
Please fill out this form to register for a BSDC hosted workshop. We require you to provide an email address and/or phone number so that we can contact you in the event that a workshop is rescheduled or cancelled. Personal information is kept confidential and never shared.
First Name *
Your answer
Last Name *
Your answer
Street *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Association Name
if applicable
Your answer
Company Name
if applicable
Your answer
How did you hear about our workshop?
Which workshop do you plan to attend? *
Please select one workshop per registration form
Household Income
For statistical purposes only
Ethnicity
For statistical purposes only
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