Registration for Race Institute at Pingry School, February 2-4, 2023  
IN-PERSON RACE INSTITUTE
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Name *
Name of your school/organization *
Position title *
Email address *
The best number to reach you *
How do you identify racially? *
Have you ever taken an anti-racism workshop before? If so, where?
Please tell us a bit about who you are. *
What do you hope to get out of the Race Institute for K-12 Educators workshop?
Is there anything else that we should know about you?
The workshop runs from 9 am to 5 pm each day. 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? *
An invoice for the cost of the registration fees will be sent to you and your school upon receipt of your registration.  To whom should the invoice be addressed?  (Please include name and email address)
Food allergies or eating restrictions, if any.
Do you have any mobility issues? Please describe. 
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