Step 1

Contact Information: (Please be sure to fill in your name and at least one method of contact, in case there are any changes in the classes/events or we need to contact you regarding your registration.)

*Name

*One Contact Method Required

Phone Number

Email

Address

City

State

Zip

Preferred method of contact: Phone Email Writing

Step 2

*Please sign me up for the following classes/events: (You may register for more than one at a time. Please list the names of the classes/events and the starting dates.)

Step 3

Please let us know a little bit more about yourself:

Have you attended Journey Center events before? Yes No

How did you learn about this event? (Check all that apply.)

Friends Newspaper/Magazine Website Newsletter Festival

Other (Please indicate.)

Please use the following space to write any additional comments or questions:

Thank you for taking the time to register for our classes/events. Click on the submit button to send us the information. After you click on the submit button, you will see a confirmation page that your form has been submitted. Please contact the Journey Center at (707) 578-2121 if you have any trouble using this form or have any feedback for us.