JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Appalachian Summer Solstice, June 20-23, 2024, Work Barter Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Preferred Name
The name you go by in the community, or what you want us to call you
Your answer
Preferred Pronouns
The pronouns you go by in the community
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Home Address
*
Your answer
Preferred Email Address
*
Your answer
What is the best way to contact you before the event?
Email
Phone
Text
Other:
Clear selection
Would you like to join any of our Wisteria email lists?
*
Main Wisteria Newsletter
Vendor Email List
Workshop/Programming Email List
Work-Barter & Community Work Weekend Email List
Performer Email List
I don't want to join any emails lists
Required
How did you hear about our events?
Your answer
Emergency Contact Name and Phone Number
*
Your answer
Will your emergency contact be on site during the event?
*
Yes
No
Next
Page 1 of 5
Clear form
Never submit passwords through Google Forms.
This form was created inside of wisteria.org.
Report Abuse
Forms
