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REGISTRATION FORM Black Youth Empowerment (BYE) Safer-Braver Spaces Workshop for School Staff
Please note, the Zoom name on this form must be the same as your Zoom name on May, 20, 2022.
An information package will be sent to you before the workshop.
For more information, email us at
blackyouthempowerment21@gmail.com
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Email
*
Your email
Phone Number
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Name:
*
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Name of Your School:
*
Your answer
Roles at Your School (i.e, teacher, principal, counsellor, support staff):
*
Your answer
Zoom Name for May 20, 2022 *
*
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Referral Source*
*
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Please tell us about your interest in attending this workshop.
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