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Fixit Clinic Registration Form

The Fixit Clinic will be held on Saturday, May 16 from 9 a.m. to 2 p.m. at Fuse Makerspace located at 101 Broadway NE. 

Everyone who wishes to bring an item must register for a time window below. Participants will be seen by a coach within the hour-long time window they select. 

Use format xxx-xxx-xxxx
Must contain @domain.com
Describe the item you are bringing in to repair and what is wrong with it.
What time would you like your appointment to be?
Indicate how you heard about the event. If other please specify below.
Please specify where you heard about the event.

Please confirm all required fields are populated before submitting your form. Your form is not submitted until you see the confirmation page which includes a recap of your completed form fields.