* Indicates a required field

Name *

Address *

Phone - Cell preferred *

Email *

Name of Workshop *

Description of Workshop (for welcome packet) *

Size of Group *
10-1210-2020+Unlimited

Will there be a materials fee? *
YesNo

What is the fee for materials (or enter "donation")

Room Arrangement

Are you using audio and visuals? If yes, please describe.
YesNo

Note: Due to the high cost we may or may not be able to provide this, but we will do our best to meet your needs.

Please add a brief BIO and any other information you feel is needed. *