Emergency Contact Information

First Name*

Last Name*

Relationship*

Phone Number*

Language Learning Goals

What is your current level of proficiency in the languages you are interested in?*

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What are your primary goals for attending this workshop?*

Do you have any specific questions or topics you would like to be covered?*

Accessibility Needs

Do you have any accessibility requirements or special accommodations needed?

Terms and Conditions *

I understand that photos/videos may be taken during the event for promotional purposes.
I understand that the workshop organizers will not be responsible for any injuries or accidents that may occur during the event.
I consent to having my contact information shared with workshop facilitators for follow-up purposes

I accept all Terms and Conditions

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Emergency Contact Information

Language Learning Goals

Accessibility Needs