Request edit access
Undoing Racism in Sarasota - Registration Form
Thank you for your interest in the Undoing Racism workshop on March 9-11th! Please fill out the information below to let us know that you're interested.

We will contact you by February 23rd to let you know if your registration has been accepted.

Friday March 9 6-9pm
Saturday March 10 9am-7:00pm
Sunday November 11 10am–6pm

The cost of the workshop is $350 per person, and we are committed to having members of our community participate regardless of their ability to pay - we have a number of scholarships available.

Please note: The scope of this issue makes your commitment to attend the entire weekend essential to the success of this workshop. The workshop is limited to 40 participants.
Name *
Your answer
Age *
Your answer
Are you a year-round resident of the Sarasota area? *
Ethnicity/race/nationality *
Your answer
Gender *
Your answer
Address, including city *
Your answer
Telephone #
Your answer
Email address
Your answer
Please briefly describe your current work in the community (paid or otherwise) and how it connects you to your commitment to undoing racism. *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms