Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Military Status (ID Required) *

Veteran

Active Duty

Non-Military

How did you hear about this workshop? *

Social Media

Flyer

Email

Other

*

Male

Female

Do you have any experience in convertible furniture and finish carpentry ? *

All experience levels welcome!

Yes

No

Do you have any disabilities or health conditions that we should be aware of? *

Yes

No

What do you want to get out of your attendance in this workshop? *

I am interested in pursuing employment in the finish carpentry or construction trades.

I want to learn how convertible furniture and finish carpentry.

I am homeless or struggling with housing instability.

I want to volunteer to support veterans in need of housing.

I want the opportunity to work along side Zack Giffin.

Other

Waiver Statement *

Photo and Video Consent: Submission of your registration authorizes Operation Tiny Home and our workshop affiliates, agents and partners to use photographs, video or sound recordings of you during the October 2017 Tiny Home & Simple Living Jamboree Operation Tiny Home Workshop. This is completely voluntary and up to you. Your consent to the use of the photographs, video and sound recordings and your image, likeness, appearance, and voice is forever. The photographs, video and sound recordings may be used for any educational and informational purposes whatsoever. You will not receive compensation for the use of your image, likeness, appearance, and voice now or in the future. I understand and agree.

Yes, I agree