Creative Convergence Registration

CC Registration Form

(Note:  There is no fee to participate in the Convergence. Travel to Santa Fe is the responsibility of the participant, but lodging discounts may be available.)

 Your Name:

 Your Country:

          English-speaking:  Yes      /         No

          Translation needed:    Yes     /       No

 Area of Creativity:

 Website:

 Venue needed:    Yes    /    No     Describe Venue:

 Equipment needed (please list):

 Your Availability (circle all that apply):

Online /   On-site /   Online & On-site /

 Need accommodation if on-site?     Yes  /   No   

Describe accommodation needs:

 Contact Information (circle preferred method of contact)

          Telephone     /     Text      /      Email address

Physical Mailing address