Workshop Booking Request Form

Workshop Booking Request Form

Please provide your details and preferred schedule for the workshop. Please note that Plant Walks are only available from approximately May through July (some exceptions based on seasonal changes). During September through June, I am only available for evening and weekend workshops (except during winter and spring breaks. Thank you for considering sxwnem for your workshop!
Full Name

First NameLast Name
Organization
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
First Choice Workshop Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Secondary Workshop Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Workshop Time (hours flexible)
Preferred Workshop Time

Hour Minutes

AM/PM Option

until

Hour Minutes

AM/PM Option
Total 0.0
Number of Attendees
Location of Workshop

Please share the workshop location details.
Workshop Location

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Workshop Requested
Optional second Workshop choice
Optional third Workshop choice
Plant Knowledge Power Point Add-On

Select this add-on if you'd like to include the plant knowledge power point. *Note: this add-on is not available for all workshops.
Plant Knowledge Power Point Add-On
How did you hear about me?
Additional Notes or Requests
Should be Empty:

Location of Workshop