SayPro Event Registration Form Template

A simple and effective form to register participants for SayPro’s Mental Health Awareness Campaign events, including demographic data collection.

---

Event Registration Form

Event Name: [Pre-filled based on the selected workshop/webinar]
Event Date & Time: [Pre-filled]
Event Location/Virtual Link: [Pre-filled]

---

Participant Information

1. Full Name: ___________________________
2. Email Address: ___________________________
3. Phone Number: ___________________________
4. Age Group: (Select one)
   • ☐ Under 18
   • ☐ 18-24
   • ☐ 25-34
   • ☐ 35-44
   • ☐ 45-54
   • ☐ 55+
5. Location (City & Country): ___________________________

---

Event Preferences

6. Which event(s) are you registering for? (Select all that apply)
   • ☐ Webinar: Stress Management & Coping Strategies (Date & Time)
   • ☐ Workshop: Self-Care Techniques for Mental Well-Being (Date & Time)
   • ☐ Live Q&A with Mental Health Experts (Date & Time)
   • ☐ Community Resource Booth (Date & Time)
7. Do you have any specific questions you’d like our speakers to address?
   • ☐ Yes, my question is: ___________________________
   • ☐ No, I just want to listen and learn.

---

Additional Information

8. How did you hear about this event? (Select one)
   • ☐ SayPro Website
   • ☐ Social Media (Facebook, Twitter, LinkedIn, Instagram)
   • ☐ Email Invitation
   • ☐ A Friend/Colleague
   • ☐ Other: ___________________________
9. Do you require any accommodations (e.g., closed captions, sign language interpreter)?
   • ☐ No
   • ☐ Yes, please specify: ___________________________
10. Would you like to receive future updates about SayPro events and mental health resources?

• ☐ Yes, sign me up for the newsletter!
• ☐ No, just this event.

---

Consent & Agreement

By submitting this form, I agree to:
Receive event details and reminders via email or phone.
Participate in SayPro’s event in a respectful and professional manner.
Allow SayPro to collect and analyze anonymous data for event improvement.

Signature (for in-person events): ___________________________
Date: ____ / ____ / 2025

Submit Form: [Button for digital form submissions]

---

Notes:

• This form can be used digitally (Google Forms, Typeform, etc.) or as a printable PDF for in-person registrations.
• Responses will help SayPro tailor content, measure impact, and plan future events.

This registration form template ensures a smooth sign-up experience for participants while collecting valuable data for campaign improvement!