Fix It Clinic Coach Registration

Name*
First Last
Email*
Phone
Address*
State / Province / Region ZIP / Postal Code
Which virtual Fix It Clinic are you available for?
We have three Fix It Clinics scheduled. The May 20th one is focusing on Santa Fe area attendees and the May 25th one is focusing on Taos area attendees and the May 27th one is focused on the Albuquerque area, but coaches can be from anywhere!
What is your area of expertise in terms of repairs? To select more than one entry hold the "Ctrl" key and highlight all that apply*
Do you have a laptop, tablet or phone, and Internet connection that allows for video conferencing?*
- Yes
- No
For this virtual clinic we will be hosting the clinic via Zoom.