REGISTRATION FORM - OCTOBER 24, 2021 COMMUNITY CASE DISCUSSION
This is a free event, but registration is required for all participants. After registering, you will receive a copy of the case and questions to consider in preparation for the discussion.
Sign in to Google to save your progress. Learn more
Email *
Your name *
Why are you interested in attending this case discussion? If you are an educator or student, please include that information. *
We will be making a short video to inform other Oregon educators. Would you be willing to briefly answer some questions about this discussion for the video? *
If the date or format of the event must be changed because of COVID-19 and you would like to be alerted by text message or a phone call, as well as by email, please provide your mobile phone number.
Thank you for registering for the October 24 Community Case Discussion on “Martin Luther King and the Struggle for Black Voting Rights.” Please plan to check in between 1:00 and 1:20 PM at The Laurelhurst Club, 3721 SE Ankeny, Portland. The discussion will begin promptly at 1:30. Due to COVID-19, we expect that masks and proof of vaccination will be required for admission to this event. Please click “Submit” below to complete your registration..
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy