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Workshop Presenter Registration

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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  
  City, State, Zip REQUIRED Please fill out this field. Please enter valid data.
  
  Office/cell phone numbers REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter valid data.
  
  Sponsor/publisher if any Please enter valid data.
  
  Website Please enter valid data.
  
  Please give a brief description of yourself (family, ministry, degree, etc.) in fifty words or less for publication purposes. If the workshop is in Spanish, please give the information in Spanish. REQUIRED Please fill out this field.
  
  Send a recent photo of yourself (jpg or pdf) for conference advertising to calvarez@victoriadiocese.org.
  
  Title of workshop REQUIRED Please fill out this field. Please enter valid data.
  
  Brief description of workshop in 50 words or less. If your workshop is in Spanish, please write in Spanish.
  
  Will this workshop be presented twice? REQUIRED Please fill out this field.
  
  Title of second workshop (if different from the first), or leave blank Please enter valid data.
  
  Brief description of workshop in 50 words or less. If your workshop is in Spanish, please write in Spanish.
  
  I have sent (will send) a recent photo of myself to calvarez@victoriadiocese.org REQUIRED Please check box Please fill out this field.
  
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