Reflective Citizens Group MLK Jr. Day 2022

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This is the simplified registration form for the MLK Jr. Event on 01/16/2022 to obtain name and contact information for all registrants.

Thanks and Intro

Thank you for your interest in the Reflective Citizens Group for Dr. Martin Luther King Jr. day! This registration is a simple step so that we can keep an approximate headcount of everyone interested. Please type your name and preferred contact email so that we can be sure to get the virtual event info to you.

If you have questions, please feel free to reach out to Dale Godby (dchandes@gmail.com), Carla Pulliam (drpulliam@thechrysalicenter.com), or Everrett Moore (moore@thechrysaliscenter.com).

Please enter your first and last name. *

Please enter your preferred contact email. *

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