Event Registration

Rooted & Resourced: A 1-Day Retreat for Change-Agents

05/09/2025 09:30 AM - 05:30 PM ET

Number of attendees:

Include myself as an attendee:

First Name: Last Name: Email: We look forward to staying in touch with you! Check below if you prefer to not receive emails from us in the future:

Opt out

Day Phone: Address: City: State: Zip: -

Thank you for registering! We request demographic information below to periodically compile a general snapshot of the kinds of people we work with. Please note the option not to answer.

How would you define your socioeconomic background?

Lower

Working

Middle

Upper

Prefer not to answer

Do you identify as a person of color?

Yes

Prefer not to answer

What is your race / ethnic identity? Please check all that apply:

Asian

Black or African American

Latinx or Hispanic

Native American or Alaskan Native

Native Hawaiian or Pacific Islander

White or Caucasian

Prefer not to answer

Do you identify as LGBTQIA+?

Yes

Prefer not to answer

What gender pronouns do you use?

She/her/hers

He/him/his

They/them/theirs

Other

Prefer not to answer

required fields