Workshop Title*

A value is required. Type N/A if not applicable.

Workshop Leader*

A value is required. Type N/A if not applicable.

Phone (Work) *

Invalid format.A value is required.

Phone (Home)*

A value is required.Invalid format.

Fax Number
A value is required. Type N/A if not applicable.Invalid format.

Email*

A value is required.Invalid format.

Address*

A value is required.

City*

A value is required.

State*

A value is required.

Zip Code*
A value is required.Invalid format.

What days do you plan to attend the festival?* (If applicable, please indicate that you are only attending for a specific event/workshop)*

A value is required.

Day/s NOT Available (Wednesday to Saturday)*

A value is required.

Times NOT Available* (If applicable, type "No Conflict")

A value is required.

Length of Workshop* (Choose 60 or 90 Minutes)
60 Minutes 30 Minutes Please select an item.

Program Description (Please include the type of program you are presenting - i.e. panel, working meeting, discussion, etc.) *

A value is required.

Room Configuration (Note: Theater/Panel is the standard configuration) *

Theater/panel	Classroom	Hollow square/round table
Reception w/food bar (describe)	Other (describe)

Notes


Please list A/V needs*

A value is required.