Request for a Youth Racial Justice Training

Please complete this form and a Conference representative will contact you.

*First Name
*Last Name
*Email
*Phone number
* Sponsoring Church or Group
*Sponsoring Church or Group Address
*Select your preferred training format.
Stand Alone Introduction
3-Part Training
*Estimated attendance
*Preferred date(s) and time for training (provide at least two options)

If you selected the 3-Part format, trainings must happen in 3 consecutive weeks

Description of anticipated audience

Estimated average age, gender, racial mix

*Equipment: check all you can provide:
Wi-fi
Projector
Screen
Easel
Tech support
Please answer the following:
*Are you willing to invite other youth groups to this event?
Yes
No
*Do the Connecticut and Massachusetts Conferences have permission to publicize the event?
Yes
No
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