Event Information Form

Your Information

Name*

Email*

Your Position*

A Certified RW360 instructor who will teach this event
A representative of the organization that will host this event

Event Information

Name of Event Instructor*

Name of Host*

Date and Time of Event*

Access*

Open to Public
Private/In-house Event

Type of Training*

Webinar
Live Event

Type of Webinar*

2-3 Hour RW Webinar
Custom Webinar (details given below)

Type of Live Event*

2-3 Hour RW Seminar
Full Day RW Seminar
Introductory RW Presentation (< 2 hr)
Weekend Retreat
Plenary Address or Workshop at our Conference

Address of Event*

Title and Description of Custom Event

Host's Website Page Describing Event (or Taking Registration)*

Expected Attendance*

Attendance Fee*

Registration Preference*

Prefer registration to be done through host's website
Prefer registration to be done through RW360 website

Special Registration Instructions (if any)

Contact Information

Contact Person for Event*

Contact Person's Email*

Contact Person's Phone*

Other Information

If you're planning to provide child care, please indicate what you would like us to communicate on the registration page.

If you're planning to provide lunch on-site, how do you want us to advertise it?

(e.g., we can add an extra fee you choose to registration form or we can add language like "Lunch will be provided by the church for voluntary donation")

Additional Info about Event

Have you sent your audio/visual team the model email provided in the Hosting Guidelines, and have they specifically confirmed that you can provide the A/V setup specified in the guidelines that allows our instructor to manage the PowerPoint & video presentation from his or her personal computer at podium?*

Yes
No

Event Information Form

Your Information

Event Information

Contact Information

Other Information

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