Join us for a Community Conversation!!!

Welcome!!!

Please complete the form below to confirm your attendance!

What: Omaha Bridges Community Workshop

Where: Nebraska Enterprise Fund - Highlander Accelerator Building

2112 N. 30th Street, Suite 103

Omaha, NE 68111

Time: 6:00 - 8:00pm

Presenter: Omaha Bridges Out of Poverty

Tell us a little about yourself...

First Name *

Last Name *

Phone Number *

Primary Email Address (We will use this to communicate with you) *

Are there any other needs to help you be successful at this workshop? *

If yes, please explain. *

Authorization to Use Photographs, Images, etc: I do hereby give permission to Omaha Bridges Out of Poverty, Inc., its employees, and representatives, to take photographs and/or other images of me or my property, for the sole use of promoting, advertising and marketing Omaha Bridges Out of Poverty, Inc. Any other use of such photographs or other material is not authorized. This authorization applies to use on the Omaha Bridges Out of Poverty website, brochures or other materials created and designed for the business use of Omaha Bridges Out of Poverty, and its social media sites, including but not limited to Facebook, Instagram, Twitter, and SnapChat. By selecting "Yes," I am affirming that I have read, understand and grant authorization. *

Yes

Electronic Signatures. The exchange of copies of this Agreement and of signature pages by electronic transmission shall constitute effective execution and delivery of this Agreement as to the parties and may be used in lieu of the original Agreement for all purposes. Signatures of the parties transmitted electronically shall be deemed to be their original signatures for all purposes.

Please provide your electronic signature *