The Greater Rochester Pagan Pride Project, Inc.

Rochester Pagan Pride Day Festival 

 

ROCHESTER PAGAN PRIDE DAY 2009

WORKSHOP PRESENTERS INFORMATION/BIO

 

Please complete this form and mail to: Myriah, PO Box 231, Bloomfield, NY 14469-0231,  or email to workshops@rochesterpaganpride.com.  Thank you for your cooperation. 

 

DEADLINE:  August 1, 2010.   PLEASE PRINT ALL INFORMATION.    

 

YOUR NAME ______________________________________________________________

 

NAME (AS YOU WOULD LIKE IT IN THE PROGRAM) ________________________________

 

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MAILING ADDRESS _________________________________________________________

 

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CITY ________________________________, NEW YORK    ZIP _____________________

 

PHONE NUMBER  ________________________CELL ______________________________

 

BEST TIME TO REACH YOU __________________________________________________

 

E-MAIL __________________________________________________________________

 

NAME OF WORKSHOP YOU ARE PRESENTING ____________________________________

 

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BIO INFORMATION:  Please include # of years practicing, any organizations or causes you are involved in or have founded. Basically, include any information about you that you would like included in our program . Thank you.

 

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Continued on next page

 

 

SYNOPSIS OF YOUR WORKSHOP_______________________________________________

 

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Do you have any preference of when your workshop is scheduled?

 

________ Morning      ________Early afternoon        ________ Late afternoon

 

 

Do you require anything special for your workshop?  (other than chairs/tables)

 

_____Easel/Paper/Markers     _____Electricity (only 1 shelter has electricity this year            

 

 

Other  (please specify)  ___________________________________________

 

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Rochester Pagan Pride Day will be held on Saturday, September 11, 2010 at Ellison Park off Blossom Road. Times: 10:00 AM – 6:30 PM