Mi Response To Hate: 2017 Conference
Use this form to register for the 10th Annual Mi Response To Hate: 2017 Conference - September 6, 2017.
We are currently running a wait list.

As cancellations occur we will send announcements for those with pending registrations but probably not
until September 1, 2017, so please stay tuned.

First Name
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Last Name
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Job Title
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Organization
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Email Address
Please verify your email address - we will use this for your confirmation message and important updates.
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Address
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Address 2
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City
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State
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Zip/Postal Code
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Telephone Number
Best number to reach you should email not work
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I will attend the following sessions
I am interested in the following MORNING workshop
Use this option to select the MORNING workshop you want to participate in
I am interested in the following AFTERNOON workshop
Use this option to select the AFTERNOON workshop you want to participate in
Which occupation(s) best describe your connection to the conference?
I have dietary restrictions/allergies or will need a reasonable accommodation to attend
Please use the Remarks section below to let us know how we can be more accommodating...
Remarks
Please indicate your dietary restrictions/allergies or requested reasonable accommodation(s) here.
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