Online Form: Workshop Participant Registration

IMPORTANT: Please select the Workshop for which you want to register from the dropdown list.*

Name of Person Completing This Form*

REGISTRANT Name*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

How did you hear about this program?*

Comments (Example: If registering for one or more Drop-In sessions rather than a series, please specify number of sessions and dates here)

Please indicate the method of payment you will use. Instructions will be provided after you click the Register button.*

PayPal (PREFERRED ~ Credit/debit card payment accepted without a PayPal account)
Personal Check (mailed in advance)

Please read the terms here and then check the box below.

ACKNOWLEDGMENT*

I have read the Fivesparks Consent and Waiver of Liability terms and understand and agree to them.