Event Registration Form

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EVENT REGISTRATION FORM

Neighborhood Workshop · participant form

EDITABLE TEMPLATE — COMPLETE ALL BRACKETED FIELDS

Event

Event / organizer [EVENT AND ORGANIZER]

Date / time [DATE, START, END, TIME ZONE]

Venue / access [VENUE / ONLINE LINK / ACCESS DETAILS]

Registration deadline [DEADLINE AND CAPACITY]

Participant

Full name: ____________________________________ Preferred name: __________________

Email: ________________________________________ Phone: __________________________

Organization / role (optional): ___________________________________________________

Emergency contact (collect only if needed): _______________________________________

Sessions

☐ Opening session

☐ Workshop A

☐ Workshop B

☐ Lunch / networking

☐ Closing session

Access and dietary requests

Tell us what would help you participate (optional):

________________________________________________________________________

Dietary needs communicated to catering: __________________________________________

Do not ask for a diagnosis when the accommodation can be arranged without it.

Fees and payment record

Fee: $[AMOUNT / FREE] Payment status: ☐ Not due ☐ Due ☐ Paid

Method / reference: __________________________ Refund / transfer terms received: ☐

Communications and photo choice

Event logistics: I agree to receive messages needed to administer this registration. ☐

Optional marketing messages: ☐ Yes ☐ No

Photography / recording choice: ☐ Yes, I consent ☐ No, do not use my identifiable image

How to identify or accommodate “no photo” participants: [ORGANIZER PROCESS]

A parent or guardian must complete any separate authorization required for a minor.

Privacy and acknowledgement

Organizer privacy contact: [CONTACT]. Purpose, retention period, processors and deletion/correction method: [NOTICE]. Collect only what is needed, restrict access, and do not publish the attendee list without a separate lawful basis or permission.

Participant signature (if required): __________________ Date: __________

General planning form, not legal advice. Accessibility, privacy, payment, health, school, clinic, minor, waiver and photo-release requirements depend on the event and jurisdiction.