Workshop Presenter’s Form
If you want to do a workshop at the Gathering, fill out the following form and mail it to ALDHA no later than Aug. 1 to make sure it arrives in time for inclusion in the program.


Date_________________________________________

Name(s)_________________________________________________________________________

Street address____________________________________________________________________

City, State, and ZIP________________________________________________________________

Phone _________________________________________________________________________

E-mail ________________________________________________________________________



Title of presentation ____________________________________________________________

Approximate length ____________________________

Type of presentation (workshop; slide show; panel discussion) _____________________

Briefly describe how your presentation should be listed in the program:






What, if any, is desired day and time of presentation? (i.e., Saturday afternoon, Sunday morning, etc.)

________________________________________________________________


Mail it NO LATER THAN AUG. 1 to

Kip Redick
15095 Yarmouth Court
Carrollton, VA 23314