Register for Dialogues on the Experiences of War

Registration Form for Class

The course will take place on Tuesday and Thursday evenings, from 6:30 to 8:30 pm. We offer it online or in-person at the Williamson Road branch of Roanoke Public Libraries. We also will provide a hybrid option. Bottom line: we want to make the class accessible and support those who wish to attend.

We will begin classes on September 13 and end on December 15, 2022.

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* 1. Email address

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* 2. Full Name

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* 3. Phone Number and best day/time of day for me to call to discuss the course.

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* 4. Year of Birth

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* 5. Military Branch

Army

Navy

Marines

Air Force

Coast Guard

Other (please specify)If you are a parent or family member, say so here.

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* 6. Dates of Service (if applicable)

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* 7. Do you have any learning-related needs for which you might need accommodation (hearing, sight, mobility)? If so, please provide details below.

Yes

Other (please specify)

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* 8. Why are you interested in this course?.

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* 9. When we hold some sessions online, will you have a computer and a good internet connection?

Yes

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* 10. Would you rather the class be online or in-person?

Online

In-person

Hybrid