Workshops Registration Form

General Information

Choose Your Workshop
Your Name(required)
Organization(required)
Email(valid email required)
Phone
Mailing Address
Job Title / Grade Level / Subject or Focus Area
Goals for Workshop
Photo Release: I give permission to Experiential Tools to use photos of me taken at this workshop in training or marketing materials
i agree

Food Preferences (lunch will be served on site):

vegetarian
other dietary requirements

Payment Information

Credit Card Payment Online: Secure Online Payment through Paypal (see below)
Call with Credit Card Information (802-348-7297)
Personal / Employer's Check (make payable to Experiential Tools)
School Purchase Order

Secure Payment Through Paypal