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Xpress Urself Registration Form

This survey has closed.

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THIS SURVEY HAS ENDED!

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EMAIL ADDRESS

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PHONE NUMBER

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How many people will be attending (including yourself)?

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I understand that at least one person attending the Drumming workshop has a special need.

*Special Needs can include mental illness, ADHD, Autism, or any of various difficulties (such as a physical, emotional, behavioral, or learning disability or impairment) that causes an individual to require additional or specialized services or accommodations (such as in education or recreation)

Are there any special accommodation?

We will contact you if we have any questions regarding this.,

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Which workshop(s) are you registering for?