PROGRAM SIGN UP
Please select the program you are interested in. Please note that programs or workshops or not guarantied, and may be canceled depending on volunteer schedule and number of interested attendees. Thank you for your understanding.
Name:
Phone:
E-mail:
Please confirm your e-mail:
In which program (workshop) are you interested?
Please Select One ---->
Cell Phone Check Up Week of Nov 13, 2017
Cell Phone Check Up Week of Nov 27, 2017
What day of the week suits your needs best?
Please Select One ---->
Monday
Tuesday
Wednesday
What time slot best suits your needs
Please Select One ---->
Evening Slot 1 (5:00pm-6:30pm)
Evening Slot 2 (6:30pm-8:00pm)
Comments/Questions, Comments and Special Requests:
