XITO TIAHUI Level II Fall Institute 2021
Email *
First Name *
Last Name *
Email Address *
Phone Number *
Organization Name (school, community group...) *
Have you attended any XITO institutes in the past? *
If not, are you an Ethnic Studies practitioner? *
Name of PayPal payee if different from participant's name (school admin assistant or other)
Please indicate below your agreement to allow your name and likeness to be reproduced in XITO promotional materials including social media and websites affiliated with the Xicanx Institute for Teaching and Organizing. *
A copy of your responses will be emailed to the address you provided.
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