Last Name •

First Name •

Email •

Cell Phone •

Name of additional family member(s), if attending (spouse, non-speaker, adult sibling) •

Registration Fee Please Select Answer $10 per family ($10.00 USD) •

Note: There is no childcare for this event. There will be plenty of time for questions. If your non-speaker/unreliable speaker needs to attend with you, we are fine with that, though it may impact your own freedom of discussion.