Virtual Compost Seminar Registration

2. First and Last Name*
3. Phone Number*
5. Email Address*
6. Zip Code
8. Seminar Date and Location*

   1. Tuesday, May 3 at 6:30 p.m.
   2. Tuesday, May 31 at 12 p.m.
10. The following questions are voluntary and will help us ensure we are reaching all audiences in Hamilton County. Thank you.
12. How did you learn about our Compost Seminars?

    1. Facebook
    2. R3Source Newsletter
    3. Library
    4. Newspaper
    5. R3Source Website
    6. Other website
    7. Other
14. Gender Identity

    1. Male
    2. Female
    3. Non-binary
15. Race

    1. Asian
    2. Black
    3. Hispanic
    4. White/Caucasian
    5. Other
16. Age

    1. under 20
    2. 21 - 30
    3. 31 - 40
    4. 41 - 50
    5. 51 - 60
    6. 61 - 70
    7. 71 - 80
    8. 81 and over
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field