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Registration for July 30-August 1, 2019 at Agnes Irwin School
Name *
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Name of your school/organization *
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Email address *
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The best number to reach you *
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How do you identify racially? *
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Food allergies or eating restrictions, if any
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Have you ever taken an anti-racism workshop before? If so, where?
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How did you learn about about the Race Institute?
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Please tell us a bit about who you are. *
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What do you hope to get out of the Race Institute for K-12 Educators workshop?
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Is there anything else that we should know about you?
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The workshop runs from 9 am to 5 pm Tuesday, Wednesday, and Thursday. Because of the experiential nature of the workshop, participants are expected and required to stay for the entire workshop. Participants who need to miss a day at the last minute will be prohibited from participating in the rest of the workshop. Are you committed and available to participate for the entire three days? *
The cost of the workshop is $850. Invoice for registration fees should be sent to (if submitting a snail mail address, please include a contact email as well):
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