WE RISE Registration Form

REGISTRANTS INFORMATION

Name of Registrant (one registration per form)

This address will receive a confirmation email

Phone

Address

EMERGENCY CONTACT INFORMATION

Full Name of Emergency Contact

Emergency Contact Relationship to You

Phone Number

TOGETHER WE CREATE / TOGETHER WE RISE
SATURDAY, FEBRUARY 28, 2026 - 9:00 AM TO 3:30 PM

Choose two workshops to explore your creative self (Select at On-Site Registration)

Collaborate with fellow artisans to create an immersive, participatory art project inspired by Batya Levine’s We Rise.

Enjoy breaking bread with fellow participants over lunch (included)

We’ll share our work Sunday, March 1 during the Paint Branch UU 3pm service. (Suggested for workshop attendees)

REGISTRATION

Select Registration Type:

$40 - General Admission (Non PBUUC Member) $30 - PBUUC Member/Friend/Staff $20 - Seniors (Age 60 and over)/Students

To Pay by Credit Card Select Payment (based on registration type):

*Pay at Door: (Cash or check payable to PBUUC with Art As Worship on memo line)

*Mail to: Chalice Dancers, Paint Branch UU Church, P.O. Box 676, Laurel, MD 20725-0676

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.

Sponsored by the Paint Branch Unitarian Universalist Chalice Dancers and made possible by the PBUUC Legacy Fund.

Contact for more info:

Phone: 301-343-9869
Email: chalicedancers@pbuuc.org

WE RISE Registration Form

Description

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