Good Trouble Talks in Action: Let's A.C.T.I.V.A.T.E. Registration Form

Name*

First NameLast Name

Email*

example@example.com

Please select your choice of lunch box from Jason's Deli (includes Main Item, Dessert, Chips, and Pickle):*

HamTurkeyTuna SaladVeggie

Please share any food allergies (include severity) or special dietary needs:

Registration Type:*

SororPhiloGuestCollege Student

Please select your Sigma Gamma Rho Chapter Affiliation:*

Please indicate your organizational affiliation, if applicable:

What college do you attend?*

The event will include both a morning and afternoon breakout session. Please indicate your choice for morning and afternoon workshops. For a description of the workshops, Click Here.

Please select one choice for Session 1 Workshops:

Please select one choice for Session 2 Workshops:

My Products*

Registration Fee

$35.00

Registration Fee - College Student

$20.00

Total

$0.00

Payment Details
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