* 1. First Name:

* 2. Last Name:

* 3. Address:

* 4. Email:

* 5. Phone:

* 6. What region are you coming from?

* 7. Gathering(s) you are registering for:

* 8. How would you describe yourself (can check more than one)?

Thank you, we look forward to seeing you at the regional gathering!
If you have questions, please contact Catherine Quinerly at The Transformation Center
(617) 442-4111 ~  catherineq@transformation-center.org.

Lunch provided.   Registration 9:45, Community Voice Gathering 10:30 - 4:00
Report a problem

T