SayPro Workshop Registration Form for Home Repair Programs.

SayPro Monthly Home Repair Programs – January 2025

The SayPro Community Development Office, under the SayPro Development Royalty, offers a series of DIY Home Improvement Workshops designed to empower community members with the skills to maintain and improve their homes. These workshops provide practical, hands-on experience in areas such as energy efficiency, basic home repairs, and general maintenance.

Please complete the form below to register for one or more of our upcoming workshops. Participants are encouraged to register early, as spaces may be limited.

1. Participant Information

• Full Name:
  [First Name, Last Name]
• Date of Birth:
  [MM/DD/YYYY]
• Phone Number:
  [Mobile/Home Number]
• Email Address:
  [Your Email Address]
• Mailing Address:
  Street Address:
  City:
  State:
  ZIP Code:
• Preferred Contact Method:
  [Phone/Email]

2. Workshop Selection

Please select the workshops you would like to attend. You may choose more than one, depending on availability.

Workshop Options for January 2025:

• DIY Energy-Efficient Practices
  • Learn how to make your home more energy-efficient through simple, cost-effective upgrades such as insulation, weatherproofing, and sealing gaps.
  • Date & Time: [Insert Date]
  • Location: [Insert Location]
  • Spaces Available: [Insert Number]
  • Register: [ ]
• Basic Plumbing Repairs
  • Learn how to fix leaky faucets, unclog drains, and perform basic plumbing maintenance. This workshop will give you the skills to address common plumbing issues safely and efficiently.
  • Date & Time: [Insert Date]
  • Location: [Insert Location]
  • Spaces Available: [Insert Number]
  • Register: [ ]
• Home Safety & Maintenance
  • This workshop will focus on home safety features, including smoke detectors, fire extinguishers, basic electrical troubleshooting, and fall prevention in the home.
  • Date & Time: [Insert Date]
  • Location: [Insert Location]
  • Spaces Available: [Insert Number]
  • Register: [ ]
• Basic Electrical Wiring & Troubleshooting
  • Learn how to identify common electrical problems, safely troubleshoot circuits, and make minor repairs. This workshop will emphasize safety protocols and handling electrical systems.
  • Date & Time: [Insert Date]
  • Location: [Insert Location]
  • Spaces Available: [Insert Number]
  • Register: [ ]
• DIY Smart Home Installation
  • Understand how to install and configure smart home devices like thermostats, lighting, and security systems to improve home convenience and energy efficiency.
  • Date & Time: [Insert Date]
  • Location: [Insert Location]
  • Spaces Available: [Insert Number]
  • Register: [ ]
• Introduction to Home Carpentry
  • Learn basic carpentry skills such as measuring, cutting, and assembling small wooden structures, including furniture and shelves.
  • Date & Time: [Insert Date]
  • Location: [Insert Location]
  • Spaces Available: [Insert Number]
  • Register: [ ]
• Introduction to Solar Power for Homeowners
  • This workshop will cover the basics of solar energy, installation considerations, and how to incorporate solar power into your home for greater energy independence.
  • Date & Time: [Insert Date]
  • Location: [Insert Location]
  • Spaces Available: [Insert Number]
  • Register: [ ]

3. Workshop Schedule Preferences

Please indicate your preferred time slots. We will do our best to accommodate your preferences, but workshops will be scheduled on a first-come, first-served basis.

• Preferred Day of the Week:
  [ ] Monday
  [ ] Tuesday
  [ ] Wednesday
  [ ] Thursday
  [ ] Friday
  [ ] Saturday
  [ ] Sunday
• Preferred Time of Day:
  [ ] Morning
  [ ] Afternoon
  [ ] Evening

4. Previous Workshop Experience

Have you previously attended any DIY home improvement workshops offered by SayPro?

• [ ] Yes
• [ ] No

If yes, please list the workshops you have attended previously:

• [Workshop Name 1]
• [Workshop Name 2]
• [Workshop Name 3]

5. Special Requirements or Accommodations

If you have any special requirements or need accommodations to fully participate in the workshop, please provide details below. We are committed to ensuring that all participants have a comfortable and accessible experience.

• [Please describe any special needs or accommodations you may require, such as language preferences, physical disabilities, etc.]

6. Emergency Contact Information

In case of an emergency during the workshop, please provide an emergency contact.

• Emergency Contact Name:
  [Full Name]
• Relationship to Participant:
  [e.g., Spouse, Parent, Friend]
• Emergency Contact Phone Number:
  [Phone Number]

7. Acknowledgment and Consent

By submitting this registration form, you acknowledge and consent to the following:

• You agree to attend the registered workshops on the scheduled dates and times.
• You understand that the SayPro Community Development Office may photograph or videotape the workshops for promotional or educational purposes.
• You consent to having your personal information collected for the purpose of program participation and future communication.
• You agree to follow all safety guidelines and instructions during the workshops.
• Signature:
  [Participant’s Name]
• Date of Submission:
  [MM/DD/YYYY]

8. Workshop Fees (If Applicable)

Please note any associated fees for workshops, if applicable, will be communicated upon registration. SayPro strives to keep workshops affordable or free of charge, depending on program funding and community support.

Submission Instructions

Please submit your completed form through the following options:

• Online Registration Portal: [Insert URL or Link]
• Email: [Insert Email Address]
• Mail: Send the completed form to:
  SayPro Community Development Office
  [Insert Office Address]
  Attn: Workshop Registration

If you have any questions or need assistance with registration, please contact us at [Insert Contact Information].

Thank You for Registering!

We look forward to having you join us for the SayPro DIY Home Improvement Workshops. Whether you’re a beginner or looking to enhance your skills, these workshops will equip you with the knowledge to maintain and improve your home while contributing to the sustainability of our community.