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Advocacy Workshop By New Futures
1.
Full Name
2.
What community are your from?
Dover
Rochester
Somersworth
Rollinsford
Durham
Milton
Madbury
Lee
Barrington
Other (please specify)
3.
Will you need childcare?
Yes
No
4.
If yes, please list number of children you need care for, and their ages
5.
Do you have any dietary restrictions? If yes, please specify.
6.
How did you hear about this workshop?
social media
email
employer
word of mouth
Other (please specify)
7.
Anything else you'd like us to know?
For accommodations, please contact Cory Towne-Kerr: ctownekerr@goodwinch.org.
THANK YOU! We look forward to seeing you at our event!
