Register for Workshops & Benefits
Complete form below to signup for the workshop. The address is very important.
Name
*
First Name
Last Name
Were you ever in foster care
*
Yes
No
Workshop Registration - notifications by email
*
Please Select
Tri -C Workshops
Credit
John Hay Students Only
Budgeting
School
other
E-mail
*
example@example.com
Cell Phone
*
Are you female?
*
Yes
No (program pronouns are her/she)
How else can we help you?
*
Please Select
No needs at this time
Cooking Class
Food Pantry
Laundry Appointment
Utility Assistance
Rental Assistance
Other
How did you hear about the workshop?
School
Web Site
Friend/Colleague
Online Search
Already a member
Address (optional)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Click to Complete Registration
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