HEAL Fund Convening

(including yourself)
Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Review your registration".
Groundworks NM Participant Information
Please spell out the full name of your organization- DO NOT make abbreviations. If Organization does not apply, please leave empty.
i.e. (505) 999-9999
Please let us know of any accommodation(s) that you will need in order to attend and participate in this event. Thank you.