Workshops By Design Enquiry
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Email *
First Name *
Last Name *
Teacher's Phone Number *
Department and Position *
School Name *
School Phone Number *
Requested Workshop Topic *
Other Workshop Topic (if not listed above)
Prefered Workshop Date and Time (Please list two options) *
Subject of students *
Number of Participants *
Venue *
Do you have any specific curriculum aims for this workshop?
Participant Experience Level
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Any additional information we might need?
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
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