WAITLIST For Fresh Floral Centerpiece Workshop

Thank you for your interest in the Fresh Floral Centerpiece Workshop. Complete the information below to be added to a waitlist for this workshop. Please note that adding your name to the waitlist does not guarantee a spot in the workshop nor are you registered. If a spot becomes available or we decide to offer an additional session, we’ll reach out to see if you’re still interested in attending and discuss payment options.

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Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

I understand I am being added to a waitlist and I am not registered for the workshop.

Yes

Civil Rights Compliance - Participant Info

As part of our commitment to providing equal opportunities in our programming, University of Illinois Extension is required to collect and report overall statistics about the race, ethnicity, and gender of program participants. Your responses are voluntary and appreciated.

Gender

Ethnicity

Race