REGISTRATION NEXT WORKSHOP Coming Soon Who is completing this form? (If not the student, what is your relationship to the student?) * Please type your name I am registering for the Purpose + Path Workshop on the following date: * SEE ABOVE FOR AVAILABLE DATES MM DD YYYY Student's Name * First Name Last Name Student's Preferred Name, if different Student's Email (personal, not a HS or University email) * Student's Date of Birth * MM DD YYYY Student's age on the date of your planned workshop * Grade of the student on the date of your planned workshop * 10th Grade 11th Grade 12th Grade HS Graduate/Not in College College Freshman College Sophomore Other Student's Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Student's Cell Phone *with area code * (###) ### #### I agree to accept detail/reminder texts for this workshop. Confirm Parent/Mentor Cell Phone *with area code * (###) ### #### I agree to accept detail/reminder texts for this workshop. Confirm Name of the person who is responsible for Purpose+Path Workshop payment * Email of the person who is responsible for Purpose+Path Workshop payment * A link will be sent for payment. Payment is not refundable. However, payment IS transferable to another workshop date. The total cost of the Purpose+Path 3-hour workshop is $630. This includes one student and up to two parents/mentors OR two students and one parent/mentor from the same family. Please list the names of your participants for the workshop (up to 3) and their relationship to the student. * ie: Sarah Hall - student, Laura Hall - Mother, Jack Hall - Father Included in your workshop fee is a 5 Voices assessment for all participants that will need to be completed prior to the workshop. Please list the names and emails for each of your participants. An assessment will be sent to each person. * ie: Sarah Hall - sarah.hall@gmail.com, Laura Hall - laura.hall@gmail.com, Jack Hall - jack.hall@gmail.com Do you have any questions or specific needs we should know about prior to the workshop? By registering, I acknowledge that the Purpose + Path workshop is in English only and that all people in my party are proficient enough to participate. * Confirm Location of the class is downtown Oklahoma City. You'll receive details soon by email. We recommend taking a screenshot of your completed registration form. Once we receive your submission, we'll be in touch by the end of the next business day. If you have any questions or additional information post-submission, please email redwine@solomonsa.com. Thanks for your registration. You’ll hear more from us soon!
