West Coast Workshop & Activity Presenter Sign-up

Presenter Name: First: Last:

Email Address:

Phone Number:


Arrival Date: Depart Date:

Workshop Title:

Brief description of workshop–how you’d like it to appear in the program guide.

Certifications or Experience in Subject (optional):

A workshop can be offered once or multiple times.  Requested number of sessions:

Preferred Date and Start Time:  (rank two preferences)
First Choice:*

Second Choice:

Length of workshop or activity:

Preferred Location:

We will make every effort to schedule you into the time and location you request, but sometimes we have conflicts. If we cannot accommodate your request we will attempt to let you know ahead of time. Most workshops should be one hour long.

Workshop or Activity Type:  One can expect this workshop or activity to be primarily
Instructional – a workshop or class where attendees will learn about a subject or how to do something.
Recreational – coordinated exercise, hike, aerobics, sport, game and other “play” activities.
Entertainment – event or show.

Additional Information: (for the Workshop Coordinator)

Note: you must be registered for the West Coast Gathering before you submit a workshop or activity proposal.

*Preferred Times: Early morning (before breakfast), Morning (after breakfast), Early afternoon (1:00 – 3:00), Mid-afternoon (3:00 – 5:00), Late Night (10:00).

** Preferred Locations (North to South): TBA – Some locations have limitations, please feel free to enter any comments or questions in additional information.