*
Required
CONTACT INFORMATION
School Name / Organization
*
required
Name of Registration Contact
*
required
This person will be contacted with questions about participants or registration information.
Registration Contact Day Phone #
*
required
(include area code)
Registration Contact Email Address
*
required
PARTICIPATION INFORMATION
Name
*
required
What name does the participant go by?
*
required
(example William = Bill, Kathleen = Kathy
Registration Options*
Select ALL sessions for which the head will participate.
Friends Council’s Annual Meeting: April 22; 4-5:30 pm EST
Anand Giridharadas and Bryan Garman: April 22; 6-7 pm EST
What’s on Your Minds – Hot Tops?: April 23; 12 noon-2 pm EST
Participant "Weather/Travel/Tech Emergency" contact/cell number:
*
required
(In case of last minute cancellations, lateness, travel advisories, or tech issues) Cell phone preferred
What is the participant's E-mail address?
*
required
Volunteering for facilitate small groups [2 needed]*
Yes! I want to volunteer
No, not volunteering this time.
Topic Suggestions/Hot Topic Ideas
*
required
Please share any information here
Registration Fee*
Contributing $100 to the cause
Would like to contribute another amount.
How much do you wish to contribute"
*
required
Enter amount.
Please send a confirmation email to the address below*: