Dying 4 Attention Registration Form

Registration Form
We’re excited to have you join our upcoming virtual workshop!
Sign up here to be notified as soon as the new date is confirmed and receive your Zoom link—because your spot is confirmed!!! 💻✨
Name*

First NameLast Name
Organization or Company Name (type n/a if none)*
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.
Your City/State*
How Did You Hear About The Event?*

InvitationSocial MediaWebsiteFriend/Family MemberOther
Would you like to be updated about future events?*

YesNo
Kindly double-check your email and phone number to ensure they are correct. We will send out the Zoom link via email and text one week before the event. Thank you for your dedication to participating in this important discussion to protect and uplift our youth.
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