FAMILY ENRICHMENT WORKSHOPS CONTACT INFORMATION Contact Name * First Name Last Name Contact Position/Title Contact Email Address * Contact Phone * (###) ### #### COMPANY INFORMATION Company/Organization Name Organization Address * Address 1 Address 2 City State/Province Zip/Postal Code Country SIGNATURE WORKSHOPS Type of Event * In-Person Virtual Recording Workshop Budget * Under $1,000 $1,000 - $2,500 $2,500 - $5,000 $5,000 - $10,000 $10,000 - $20,000 Above $20,000 Workshop Options * OUR FAMILY VALUES - Discovering & Establishing Family Values OUR FAMILY HISTORY - Celebrating Heritage & History OUR FAMILY LEGACY - Building The Next Generation FOSTERING EMPATHY - Training For Foster Parents + Newly Adoptive Parents Customized Workshop Experience [Describe Below] Customized Workshop Experience Are you interested in a customized workshop experience? Please provide your learning outcomes. ACCOMMODATIONS Event Venue Name * Event Location * DATES & TIMES Proposed Date * MM DD YYYY Proposed Start Time * Production Requires Minimum - 2 Hour Block Hour Minute Second AM PM ADDITIONAL INFORMATION Product Table | Promotional Material * May we set up a promotional/product table at your event? Yes No Video Recording | Photography * Are we allowed to take pictures or record video images at your event? Yes No Additional Information If you have multiple dates and times for your event please add that information here. After you click "SUBMIT," you will be redirected to our next steps page. Please follow the prompts to schedule a follow-up conversation regarding your request. Thank you. Here’s Your Next Step.