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Registration for RE Training

Building Racial Equity in Land, Food, and Health Systems

Feb 11th - 10am, concluding at 4 pm.

Contact Information

Name *

First Name

Last Name

Email *

You will receive resources for this event in advance

Verify Email *

Preferred Phone

City, State, Zipcode

to help us understand who is gathering

Optional Questions

All are Welcome. Additional info is helpful for us, especially for creating small diverse break out groups.

Age

Gender Identification

Your Pronouns

Racial / Ethnic Identification

Organizational Sponsor

If you are a representative of an organization that is supporting your particiaption.

Travel and Food needs

Car travel is the easiest way to approach our rural setting. We will send you directions after you register.

We want to support ride-sharing for those who are traveling from a distance.

We will be making a delicious, locally sourced, lunch and will provide coffee and snacks.

Arrival/ Departure *

I plan to drive, and cannot offer a ride at this time

I plan to drive and may be able to provide a ride for another participant

I am looking for a ride

I am traveling from

Dietary Needs

Food allergies, dietary requirements or other needs our kitchen needs to be aware of? We will work to accommodate you, if you communicate needs ahead of time.

Mobility Needs

Our primary meeting space is up one flight of stairs, and our bathroom is on the ground level. Please let us know if you have any mobility needs, and we will do our best to support you.

Payment and Registration *	Quantity
$25 - I need support covering the cost of my participation
$50 - I am able to cover costs associated with this event
$75 - I am able to support another's participation in this, or other such events

Names of those in your group if applicable:

Add 3% to my total amount to help cover the payment processing fees