Registration: Womanist Leadership Intensive

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Email *

First Name Last Name *

Preferred Name *

Pronouns *

Preferred Email *

Phone Number *

Mailing Address *

Organization / Affiliation

Role / Title *

Do you have any food allergies we should be aware of? *

Do you have any dietary restrictions or preferences?(Select all that apply) *

Vegetarian

Vegan

Pescatarian

Gluten-Free

Dairy-Free

No pork

No shellfish

None

Other:

Required

Do you have any cultural or religious food practices we should honor? *

Why are you interested in participating in the Womanist Leadership Intensive?

What do you hope to gain, explore, or shift during this experience?

Are there specific challenges or areas of growth you’re navigating in your leadership journey? *

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