Register for Intro to Rasaboxes May 3-5

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Please complete this form so that we can best serve you for this and future workshops, events, etc. You will be registered once your complete payment has gone through. You will need to go to the app to make your payment: Zelle, Venmo, or CashApp.

The May workshop meets at the Community Education Center, 3500 Lancaster Ave. in Philadelphia.

Friday, May 3, 6-9 p.m.
Saturday, May 4, 3-7 p.m.
Sunday, May 5, 12-5 p.m.

Email *

Full Name *

Phone number (this is so we can reach you on the days of the workshop, if necessary) *

Mailing Address (Street address, apt #, city, zip) *

Workshop you are registering for *

Introduction to Rasaboxes, Philadelphia, May 3-5, 2024

I am making a payment of: *

$285, due by April 15

$143 (half price for full time students or those with previous Rasaboxes experience)

Other:

If you are registering as a student, or someone with previous Rasaboxes experience, please include the following information:

1. The school where you are enrolled, and when you plan to graduate

2. Your first or most recent experience with Rasaboxes, and with whom.

Method of payment. This is just so we know where to look for your payment. You must make the payment itself on one of the apps below. *

Zelle: Michele Minnick (917) 502-9961

Venmo: Michele-Minnick 9961

CashApp: $VitalMattersBmore (Michele Minnick)

Please check all boxes that apply. If you cannot check all boxes, please check the ones you can, and then click "other" and explain *

I am available for the entirety of the workshop

I am in good physical health

This is my first experience of Rasaboxes

Other:

Required

Please share anything else you would like us to be aware of.

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