Peace, Love & Planet
Download Enrollment Form
Thank you for your interest in participating in a PLP program. Please fill out the following to help us get started organizing your event and email to: plp_gina@me.com.
1. Name of organization: ___________________
2. Event address: ___________________
3. City/Zip: ___________________
4. Contact name: ___________________
5. Email: ___________________
6. Main telephone #: _______________ Contact #: _______________
7. #of expected participants: _______________
8. Would you like a craft? Y or N Additional $1/child fee required.
9. Requested date of event: _______________ Optional date: _______________
10. Time of event: _______________
Workshops are 50 minutes. If you are scheduling a Cafeteria Trash Sort, please list lunch period times. Or, if this is an event, please list duration of time.
11. How did you hear about our program?
12. Please list any special details or needs of program:
www.PeaceLoveandPlanet.org Contact: Gina Adams-Levy plp_gina@me. com
Name: Gina Adams-Levy