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Registration Form for Workshops

Please note:  you must be a member of RochesterWorks! to register online.  For more information on becoming a member of RochesterWorks!, please call (585) 258-3500. There is no charge to join.
 
Youth ages 14 - 17 years do not require a RochesterWorks! Member ID Number to register for participation in Youth Workshops.  Youth may also register by phone (585) 258-3500.
 
Due to limited space, registration cannot be guaranteed if registering less than 24 hours in advance.

* Indicates required field
* Name:
* Address:
* City, State, Zip: ,
* Phone:
  Alternate Phone:
* Email:
     
* Member ID Number: (this is the number on the RochesterWorks card received when you registered)
  NY


     
* Workshop Name:


(Please review the workshop schedule for Goodman St, Waring Road or Welfare-to-Work to enter the correct workshop name)

* Workshop Location:


(Please indicate either Goodman St., Waring Rd. or Welfare-to-Work.Youth Workshops are held only at the Goodman St. location. )

* Date:
* Time:
  Accommodation(s) Needed:
   
(If ASL interpreting services are requried, we will need 72 hours advance notice to make the arrangements.)
  How did you hear about this workshop
   
Newspaper
Friend
Flyer at RochesterWorks
RochesterWorks website
 Emails from RochesterWorks
Other
     
   

 
 
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