EmailMe Form - Canvas and Care Event Registration

Name *
First Last
Email *
Phone *
### - ### - ####
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
How did you hear about this workshop? *
STAR Website
STAR Email
STAR Social Media
Co-worker/Friend
Other
Do you have any accessibility needs or dietary restrictions we should consider? If so, please describe.
Cancellation Policy
You may cancel your registration up to 48 hours in advance and be granted a full refund. If you cancel after this time, you will not be given a refund.
*
Please check here to agree to the terms of this cancellation policy.
Payment
Once you select below and press submit, you will be transferred to a payment page. Only those who have submitted payment will be considered registered for this event.
*
Registration: $30