NAACP NC Youth & College Division Winter Quarterly Training Registration
Please fill in the form below.
Full Name
*
Prefix
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Affiliated NAACP Chapter (e.g., Youth Council, High School, or College Chapter)
*
Your Role in Chapter:
*
Member
Local Officer (e.g., President, Secretary, etc.)
Advisor
Committee Chair
Attendance and Participation
Will you and your chapter attend the training in-person or virtual?
*
In-person
Virtual
Will you and your chapter attend the full day of training (9 AM - 5 PM)?
*
Yes
No
How many people from your chapter will be coming to the training?
*
Please provide the names (First and last) and contact information (e.g., email addresses) of all attendees of this training.
*
Do you have dietary restrictions or allergies? This question is only for attendees attending in-person. If attending virtually, please skip this question.
Vegetarian
Vegan
Gluten-Free
Kosher
Nut Allergy
Shellfish Allergy
Dairy Allergy
I don't have any restrictions and/or I am attending virtually
Other
Are you interested in volunteering at this event?
*
Yes
No
Consent
Media Release Consent: I consent to photos/videos taken during the event being used for promotional purposes by the NAACP NC Youth & College Division
*
I agree to this consent
I don't agree to this consent
Agreement to Code of Conduct: I agree to adhere to the following NAACP Code of Conduct
*
I agree to this code
If you or any youth member are under 18, please provide a parental consent form for each.
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