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GrapeVine Session Scheduling Form- In Person

1. Please provide us your contact information.
This question requires a valid email address.
2. Are you co-presenting this session with someone? *This question is required.
3. Which type of presentation are you facilitating?  *This question is required.
5. When is this session? *This question is required.
6. Where will this session take place? *This question is required.
8. Is this session open to the public? *This question is required.
9. Although this session is not open to the public, we still wanted to offer our assistance with promotional materials as needed. Would you like us to email you a promotional flyer specific to encourage event attendance and/or remind individuals who have registered?  *This question is required.
9. How do people register/RSVP?
We highly encourage registration for GrapeVine events. If you or the host site are unable to collect registration, we are happy to assist. Please indicate this preference below. *This question is required.
10. Who does this phone number belong to? *This question is required.
10. Who does this email address belong to? *This question is required.