Thank you for accepting the Coffeehouse Challenge! 

As soon as you’ve arranged a time and date for your event, please fill out this form. We’ll use this information to help promote your conversation to people so that they want to join in.  We’re also keeping it for our records, so that at the end of it all, we can tell how successful the Challenge was.  We may also use your phone number or email to contact you and make sure you have all the information and support you need.

Once we receive your completed form, we’ll send you a Starbucks Card to say thank you!