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 *
Your answer
Last Name *
Your answer
Job Title *
Your answer
Organization *
Your answer
Email Address *
Please verify your email address - we will use this for your confirmation message and important updates.
Your answer
Address *
Your answer
Address 2
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City *
Your answer
State *
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Zip/Postal Code *
Your answer
Telephone Number *
Best number to reach you should email not work
Your answer
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.
Your answer
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