Registration

Thank you for your interest in learning, reflection, and inspiration through the Racial Myth and Memory immersion experience!

To register, please complete this form (one per person).

We’ll acknowledge receipt of the registration form and, as soon as possible, confirm participation status. We’ll create a wait list if we have more applicants than spaces. 

With gratitude, we look forward to sharing this transformational travel-learning journey with you!

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Email *
Preferred First Name (and any initial you might use) *
Last Name *
Preferred Pronouns *
Birthdate
Street Address *
City, State, Zip *
Mobile Phone *

Please note any affiliation(s) with Carolina Friends, another school or educational institution, and/or a Quaker meeting or other organization. 

Any dietary restrictions? If so, how might we best support you on the trip?

Any mobility or other physical limitations? If so, how might we best support you on the trip?

Optionally, please indicate the name(s) of any preferred roommate or if you want the $85 single room supplement.

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