Name

First Name

Last Name

Phone

(###)

###

####

Are you part of any Culver organizations or event boards?

(not required to attend)

How did you hear about our workshop?

Facebook

Town, Gown, Lake Email

Culver Citizen

Poster in Town

findculver.com

Other

Do you have any dietary restrictions?

The planned lunch is pizza from The Culver Coffee Company, fruit, and water.

Will anyone else attend with you?

May we add your email address to our Culver Visitor Center & Develop Culver email list?

Yes