Continuing Revolution 2020 Registration - 1
Please answer the following questions as an initial way to support the community building and experiential learning that will be offered during this year's conference.

This is the first step in a multi-step registration process. The next step is a form that deals with more logistical aspects of your participation like payment, housing, and any dietary or other needs.

***You can find the link to the next steps for registration or financial aid in the final section of this form, or in your confirmation email. Links are also on the Continuing Revolution webpage. You're registration is not final until you have completed both portions.***

If you are not able to complete the registration at this time, please email Co-Coordinators, Hannah Mayer (hmayer@pendlehill.org) and Lina Blount (lblount@pendlehill.org) to discuss next steps.

Looking forward to seeing you June 5th at Pendle Hill!
Email address *
1- First Names *
Your answer
2- Last Name *
Your answer
3- Preferred Name, if different than first name
Your answer
City, State, and Country *
Your answer
9- Phone number *
Your answer
10- Date of Birth *
MM
/
DD
/
YYYY
12- Preferred pronouns
Your answer
13- Ethnicity *
Required
14- We recognize the limitations of a demographic survey and provide this space for you to describe your identity (racial, ethnic, gender, sexual orientation, and other identities) as desired in your own words. *
Your answer
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