Jan. 21st Peace Circle for Restoring Police-Community Relationships
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First Name *
Last name *
Affiliation (teacher, police officer, youth, community member, etc.) *
E-mail and phone number so we may confirm your attendance in January *
How likely are you to attend? (Attendance will be capped at 50) *
Why do you want to attend?
Do you speak Spanish and are you williing to participate in a circle for Spanish speakers? *
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