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Your Full Name
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Email address
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Town or City and State
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Members of your family (and children's ages)
that might like to be part of programs at PECHV (if none, write N/A)
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How did you hear about the PECHV?
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Poster around town
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What programming are you interested in? (Select all that apply)
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Children workshops
Family events
Activist support groups
Spiritual gatherings
Spiritual Direction with Rev Leonisa
Clergy workshops or groups
Educator professional development
Teen hangs or Teen peace-builder group
Adult education in peace/justice/non-violence/communication
Other:
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