Register for a workshopPlease fill out the registration form below, and we will contact you to arrange payment and confirm your place. Name (or Parent Name for minors under age 18) * First Name Last Name Email * Phone * (###) ### #### Are you a resident of Rio Arriba County, New Mexico? * Yes No Workshop * Misfit Poetry (August 3) Number of Participants Registering * 1 2 3 4 5 6 7 8 9 10 How did you learn about this workshop? * Please list names of additional participants, if any, and enrolled minors (first name only). Other notes Would you like to receive email updates on new workshops and books from Casa Urraca Press? * (We promise not to inundate you, and we will protect your information like it was our own personal email accounts.) Yes please! No thank you. Thank you!