Workshop Presenter Registration Form:
Workshop Title:
Description of workshop (150 words max):
Workshop Location:
Facility Name:
State: Zip code:
Workshop Date & Time:
Maximum Number of Attendees:
Presenter's Name:
Presenter's Email:
Presenter's Cell Phone:
Organization Name:
Organization Contact:
Contact Email:
Contact Phone No.:

We require all presenting organizations or individuals to read the below conditions of participation and to acknowledge their agreement to the following conditions by checking the box below:

  1. This is a free event for the participants and speakers. I/we will not charge the participants, the presenters, or the organizers for this event.
  2. I/we agree to the 55 minutes of non-commercial education and 5 minutes of allowed service or product promotional time.
  3. I/we agree to promote our workshop and the Storm Water Awareness Week.
  4. I/we agree to indemnify and hold harmless the organizers of this event and all participants of any liability or financial obligations due to any real or perceived negligence; errors or omissions; technical malfunctions; hazardous conditions, injuries, or physical damage associated with the workshop, attendees, or the event; or lack of attendance or participation in the event.
 I acknowledge that I have read and agree to the conditions described above.