FY27 Ear to Brain Connection Workshop

Ear to Brain Connection Workshop

Registration Form
Date: Tuesday, September 22
Location: JCC MetroWest | Tepper Hall
Time: 1:30-2:30pm
Fee: Free & open to the public
Registration: Required
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of Guests
Guest 1 - Name

First NameLast Name
Guest 2 - Name

First NameLast Name
Guest 3 - Name

First NameLast Name
Guest 4 - Name

First NameLast Name
Guest 5 - Name

First NameLast Name
Guest 6 - Name

First NameLast Name
Are you a JCC MetroWest member?
Should be Empty: