I look forward to working with you! Below is the first step of the journey where, in addition to sharing the pertinent registration information, I ask you to do some self reflection. This is a chance for both of us to learn what brought you here.

Please don't hesitate to reach out with any questions or concerns at [email protected].

Thanks, Hillary

First Name *

Last Name

Email *

Phone *

Address

City

State

Postal code

What pronouns do you prefer?(please check all that apply)

They/them

She/her

He/him

Just your name

Other

What is your racial identity?

Which program are you registering for?

In-person Thursdays 4:30-6pm EST (3/7, 3/21, 4/4, 4/18, 5/2, 5/16, 5/30, 6/13)

Virtual Fridays 12-1:30pm EST (3/8, 3/22, 4/12, 4/19, 5/3, 5/17, 5/31, 6/14)

Can you attend ALL the dates and times of the box you checked off? *

Yes

No

What are your hopes for participating in this program?

What motivated you to register for this program now? *

What are some of your fears or concerns or hesitations about participating in this program?

What are some either self, group, and/or education and training experiences you’ve had related to race and racism?

Is there anything else you would like to share?

Payment *

$ 795

*100% secure & safe payments*

I understand that all sales are final and no refunds given unless the program is cancelled.