Register Education Event
* Required
School / Organization
*
Your answer
School / Organization Address
*
Your answer
Primary Hunger & Homeless Awareness Event contact for your school/organization
*
Your answer
Primary contact's phone number
*
Your answer
Primary contact's email address
*
Your answer
Estimated number of participants & Demographics (e.g. 25 students, 3 chaperones, 9th and 10th graders)
*
Your answer
Will your school/organization hold a Shantytown Sleepout? (Sleepout is not required for registration.)
*
Yes
No
Unsure
If Yes, please tell us which night/nights you will be holding your Sleepout.
MM
/
DD
/
YYYY
Is your school/organization is interested in a Speaker from the Homeless Coalition? (There is a $80 fee for this service, most of it goes directly to the Speaker.)
*
Yes
No
Unsure
Time of Speaking Engagement (if known)
MM
/
DD
/
YYYY
Time
:
AM
PM
Notes on Time/Date
Your answer
Requested speaker name (if known)
Your answer
Approximate number of Streetvibes (Bulk purchase for $2/issue)
Your answer
Are you interested in Activity Facilitation? (Approximately $40/hour session)
Web of Homelessness / Who to Care For / Shelter Seekers, etc.
Yes
No
Unsure
Other:
Is this your first year organizing an event like this?
Yes
No
Other:
Are you signing up for a Social Justice Walking Tour?
(Takes place in Over-the-Rhine, $80 for groups up to 15. An additional cost for larger groups may be accessed.
Yes
No
Unsure
Time of Social Justice Walking Tour
MM
/
DD
/
YYYY
Time
:
AM
PM
Social Justice Walking Tour Participants (estimate)
Your answer
Are you signing up for a Streetvibes Shadow Activity?
(Takes place in Over-the-Rhine, $80 for groups up to 15. An additional charge may be accessed for larger groups.
Yes
No
Unsure
Date and Time of Streetvibes Shadow Activity
MM
/
DD
/
YYYY
Time
:
AM
PM
Streetvibes Shadow Activity Participants (estimate)
Your answer
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