We Are ONE
Ticket Registration Information
Name
First Name
Last Name
Email
example@example.com
Do you readily identify as a person of color?
Yes
No
Are you affiliated with a Tribe?
Yes
No
Are you local to the Atlanta area?
Yes
No
Which of the following best describes your role participating in this event?
Individual
Student (full-time)
Representative of an organization
Sponsor
Panelist
Invitee
Select your place of primary residence
Please Select
Alabama (AL)
Alaska (AK)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Florida (FL)
Georgia (GA)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
American Samoa (AS)
Guam (GU)
Northern Mariana Islands (MP)
Puerto Rico (PR)
Virgin Islands (VI)
What is your age?
Is your organization sponsoring your attendance?
Yes
No
What is your organizational affiliation?
Please select the option below which best describes your organization
Please Select
Legacy organization with an annual budget of less than $2million
Legacy organization with an annual budget of $2-$5million
Legacy organization with an annual budget of greater than $5million
BIPOC-led and -centered organization with an annual budget of less than $1million
BIPOC-led and -centered organization with an annual budget of $1-2million
BIPOC-led and -centered organization with an annual budget of greater than $2million
Submit
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