Registration Form

If you are purchasing tickets for multiple people, please make sure a registration form is filled out for each attendee:

Name

First Name

Last Name

Job Title

Station / School / Place of employment

City, State of employment

Phone

(###)

###

####

Optional critique first choice

Optional critique second choice

Optional critique third choice

Does your critique session need to be on a specifc day?

Which session are you most excited about?

Is there a speaker or topic you'd like to see in the future?

How did you hear about the workshop?

Message (optional)