1. Member submitting request: *This question is required.
5. Please provide the requested information for both facilitators. *This question is required.
9. Preferred Program Dates: NCHC HQ will make every attempt to fulfill your preferred dates. In some instances preferred dates may not be the logical option. For example: Additional NCHC Programming may be occurring during your preferred dates. Or, the host city may have additional events taking place during the preferred dates resulting in increased costs.
If you don't have specific dates, please indicate if you have a preferred date range. (e.g. late June/early July) and/or pattern (e.g. Monday through Wednesday, Sunday through Wednesday, Tuesday through Friday).
Final dates are determined by NCHC HQ. *This question is required.