3. What can you share in this workshop (skills, specialization/studies and others)?
4. What limitationsrelated to this kind of workshop do you have?
5. What other relevant information would you like the facilitators and the organizer to know in preparing for and conducting the workshop?
1. Do you have any physical ailment or medical restrictions? If so, please specify:
2. Person to contact in case of emergency (name, address, phone):
3. Do you have dietary/food restrictions? ___ Yes ___ No
If yes, please specify: _______________________________________________________________________