Beyond Impact 2023 MAIN Registration Experience

C4 Power: Building a Pro-Black Future

Registration Experience for Beyond Impact Fiscally Sponsored Projects, Speakers, Sponsors, and Staff. Welcome!
Registering as a...*
Beyond Impact TA Partner Organization (Please Choose One):
Please contact bi@aspecialgathering.com if you do not see your organization.
Enter Registration Code:*

Beyond Impact Registration Profile
Sponsor Name*
Organization*
YesNo
Name*

First NameLast Name
Pronoun*
Email*
example@example.com
Title / Role*
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Best Phone Number for You:*
Please enter a valid phone number.Format: (000) 000-0000.
Accessibility Preferences
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Please indicate if you have any of the following dietary needs?*
YesNo
Please share with us what that accommodation is:*
Beyond Impact COVID Protocol: Due to the recent uptick of COVID cases and out of concern for attendees’ health & safety, please share your comfort level with COVID precautions.
Which safety practices most support you and your comfort at the Beyond Impact In-person Convening:*
Would you like information on the following resources:*
I wish to receive information from meeting sponsors:*
Hotel Lodging Reservation and Room Type Preferences

Important Note: Hotel lodging will be arranged for Beyond Impact Fiscally Sponsored Projects. Room and tax for two (nights) will be covered for your time at the Conference.
Do you require hotel lodging at the Beyond Impact Conference Hotel:*
Hotel Lodging Room Type Preference at the Hilton Houston Post Oak by the Galleria:*
Questions or Comments for the Beyond Impact Organizers:
Should be Empty:

C4 Power: Building a Pro-Black Future