Kingian Nonviolence Workshop Registration
Thank you for your interest in learning more about Kingian Nonviolence. Please fill out this form, and we will contact you with details on the workshop, including location and what you will need to bring with you. Please email us at if you have any questions.

We look forward to seeing you there.
Which Training Are You Registering For? *
Contact Information
First Name *
Your answer
Middle Name/Initial
Your answer
Last Name *
Your answer
Name You Want Listed on Your Certificate (If Different)
Each participants who completes a PPWN workshop will receive a certificate of completion. If you would like your name listed differently than what you wrote above, please note it here. Otherwise you can skip this question.
Your answer
Email Address *
If you do not have an email address, please let us know the best way to contact you.
Your answer
Phone Number
Please DO NOT include dashes, symbols or spaces.
Your answer
Street Address
Your answer
Your answer
Your answer
Zip Code
Your answer
OPTIONAL Questions
The questions below are optional. They will help us better tailor the training as well as help us with future trainings and efforts. All of this information will be strictly confidential and will not be shared with anyone.
What is your age?
Please let us know if you self-identify as any of these categories.
Check all that apply. Again, this information is optional and confidential.
What is your gender?
Why are you interested in this training? What do you hope to gain?
Your answer
What is your past experience with nonviolence?
Your answer
Do you have any disabilities, allergies or any other considerations that we should be aware of?
Your answer
How did you hear about this workshop?
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