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CHATS Registration
Name
*
First Name
Last Name
Email
*
example@example.com
What town do you live in?
*
Why are you interested in hosting or attending at CHATS?
*
Would you like to Host or Attend a CHATS?
*
Host a CHATS on my own
Let me know when there is a CHATS I can attend
HOSTS: Location preferences
*
N/A - I am attending
I can host at my home
I can host at a public place (library, restaurant, coffee shop, office)
I need help finding a location
HOSTS: To ensure everyone interested in attending a CHATS has the opportunity, we allow attendees without a host to be matched to an available session. This may involve hosting someone you don’t know personally. Please indicate your preference below:
*
N/A - I am attending
Yes, I am open to having attendees matched with my CHATS
No, I prefer to only host people I invite directly.
HOSTS: Would you like to apply for a small stipend to help cover any cost of hosting a CHATS. Hosting a CHATS is free of charge; any costs would be for optional refreshments for attendees.
*
N/A - I am attending
Yes, I would like to apply for a stipend
No, I do not need a stipend
ATTENDEES: If you would like to attend a CHATS and be matched with a host, how far are you willing/able to travel to?
*
Anywhere in Northwest Arkansas
Within my town only
As close to my town as possible, but willing to travel nearby
N/A - I am hosting
Do you need any accommodations (accessibility, language preferences, etc.?)
*
Yes
No
How did you hear about CHATS?
*
Social Media
Website
Referral
Advertisement
Email
Other
Want to attend a CHATS? Select the date that works best for you.
*
N/A - I am hosting and do not wish to attend a session
By registering for CHATS, you consent to the use of any photographs or videos taken during the event for promotional purposes by Groundwork.
*
I accept and want to participate in CHATS
Submit
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