Please fill in the information below to register to attend the Free Community Workshop with Dr. Kate Spilde, Helen Bader Leadership Speaker Series June 25, 2013. The workshop will be held from 1:15 to 3:00 pm at the University Club of Milwaukee, 924 E. Wells St. on the second floor.

* 1. What is your first name?

* 2. What is your last name?

* 3. What organization do you represent?

* 4. What is your email address?

* 5. What is your telephone number?

* 6. How many people will attend the workshop on June 25, 2013?

* 7. Please enter the first name, last name, and email address of any guests that will be attending:

Thanks for your registration. If you have any questions, please contact Margaret Arney at, 414-410-4553.