RMC - One Day Event Registration Form 241026

A One Day Redwood Men’s Center Event

Saturday, October 26, 2024 • 9:00am to 4:30pm
Registration in advance using this form is $80. Fee at the door is $100, payable by cash or check only (sorry, no credit cards at the door.) Lunch will be provided.

A limited number of Scholarships/Workerships are available to men unable to afford the Registration Fee. Those who wish to attend under a Scholarship MUST CALL our Registrar, Conrad Larkin, at 707-566-7570 to make special Scholarship arrangements before completing this Registration form.
Name*

First NameLast Name
Email*
example@example.com
Phone Number (Cell phone preferred)*
This is in case we have a question.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you attended a Redwood Men's Center event previously?*

YesNo, this is my first RMC event
How did you hear about this Event?
Maintain your connection following the Conference by joining our invitation-only Discussion Group*

Yes, please add me to the Redwood Men's Center private online discussion group. I understand I can easily leave the group at any time.No thanks, I'm not interested at this time.I'm already a member.
Birth year only (NOT the whole date)
Just your 4-digit birth year, please (NOT the whole date.) We need this to help in planning the event. It is not used for any other purpose and is not shared or distributed in any way.
Additional information/requests/comments?
Payment of Fee (be sure to select Registration Type and complete payment below.)*

I am paying $80 in advance (must select Advance Registration type below and submit payment information).I will pay $100 with cash or check at the door.I will contact Conrad Larkin at 707-566-7570 for Scholarship arrangements.
Please verify that you are human*
Select Registration Type (select one only)
prevnext( X )
Advance Registration (must register before October 26, 2024)Must register and pay before October 26, 2024.
$80.00



Pay $100 at the door, cash or check only.Sorry, no credit cards if paying at the door.
$ Free



Scholarship/Workership (see Requirements)**Requirements** Before selecting this option, you MUST CALL our Registrar, Conrad Larkin, at 707-566-7570 to make special Scholarship arrangements. NOTE: this amount is only a placeholder and does not reflect the arranged registration cost.
$ Free



Total

$0.00

Pay with Credit Card

Should be Empty:

A One Day Redwood Men’s Center Event