Register for Teens, Parents & Technology: A Mindful Conversation

Registration Form

Please enter number of attendees
 person(s) for at $10.00 each.
 person(s) for at $25.00 each.
 person(s) for at $25.00 each.
 person(s) for at $50.00 each.
Items that are crossed out are no longer available.
Registration page for (enter first name only) (A new registration page will show for the next registrant)
Family member adult or teen? (For breakout groups)
If teen, what grade?
Gift to scholarship fund
I am a
Special requests
Rideshare (Note: As a courtesy, any cancellations should be made at least 24 hours in advance.)
Ridesharing: Direction(s)
Ridesharing: To/from what neighborhood?

Applied for a scholarship?