Workshop Booking Form

Thank you for your interest in booking one of our workshops. Please fill out the form below and a trainer will be in contact with you. Should you have any questions, please do not hesitate to email info@diversityessentials.com or call 204-471-8771.

Name (required):

Organization/Business:

Address:

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Email (required):

Phone Number (required):

Workshop and Presentation Options:

Proposed workshop date(s):

Start and end time

Deliveryplease check

OnsiteOnlineUnsure

Audienceplease check

AdultsYouth Both

Please share your hopes for the session such as learning objectives, workshop delivery expectations, special requests, etc.)

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Please describe the demographics of the audience:

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Describe participant seating arrangements:

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Purchase Order (if applicable):

Please send invoice to:please include contact name and full address

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Location and Parking:please provide workshop venue location and parking instructions for presenters

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Additional comments:

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Workshop Booking Form

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