EmpowerMT · True Colors 2018 Registration 2nd Edition

Contact Information

Name

*

First Name

Last Name

Email

*

Verify Email

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Please select which group you are signing up for. If you identify as mixed-heritage and are unsure which group to select, please contact us.

*

People of Color

White Allies

Registration Type

Pay Now Online: ($25 - $150 Sliding Scale)

Mail Check or Pay at Training ($25 - $150 Sliding Scale)

Request Scholarship

Pay Online Registration

$150

$125

$100

$75

$50

$25

Scholarship Request

We have limited scholarships available. Please tell us a little about why you are requesting a scholarship.

Mail in Check or Pay at Training

You can send a check made out to Empower Montana to 1124 Cedar St., Missoula, MT 59802. The training sliding scale is $25 to $150.