Registration Form

Thank you for your interest in this program! Please take your time in signing up, this info helps the facilitators better meet the needs of individuals in the group while keeping in mind the overall goals and mission of the program. If you have any questions at all and/or if there is a error in this form please contact us at program@pjcvt.org or 802-863-2345 x6.

As a reminder, by filling out this form you are registering for a three-part facilitated discussion group held on Saturday, February 11, 18 and 25 from 3-5pm, at Town of Waterbury, Steele Community Room, 28 North Main Street, Waterbury. Guided by two facilitators, Isaiah Hines and Jade Walker, this discussion group is designed for all who are concerned about the impact of racism and/or white privilege on our children. We expect participants to attend all three sessions, this helps build connection and allow the full group to benefit from becoming more familiar with those in the conversation. Be sure to let us know if you need childcare in order for you to participate.

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