Name *
Name
Phone Number *
Phone Number
Brief description of your company/organization
Choose 1
Please provide the email address that is linked to your personal Facebook account in the text box below. An invitation to a Facebook group will be sent to you before the day of the class. Accept the invitation, and you will be able to view the Facebook Live Event when it comes online at 11 a.m. September 12, 19.
PHOTO CONSENT *
Submission of this form gives Zan Wesley Holmes, Jr. Community Outreach Center permission to capture and display photos of the event and its participants for professional promotional purposes. We own all rights to photos taken.