Skip to content
Beloved Community Week Participant Registration
Event Selection and Participant Information
We are honored to offer several opportunities to celebrate
Beloved Community Week 2025
and the
9th Annual National Day of Racial Healing
! All events are free and open to the public.
*
1.
I plan to attend the following events:
(Required.)
Tuesday, January 21 - Racial Healing Circle (11am - 1pm)
Wednesday, January 22 - Virtual Screening of The 13th (6-9pm)
Thursday, January 23 - Racial Healing Circle (6-8pm)
*
2.
Please provide your contact information so that your registration can be confirmed with additional details for the events you selected.
(Required.)
Name
Company
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
*
3.
Demographic Information (this information will help us with planning our time together and is optional)
RACE/ETHNICITY
(Required.)
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
Another race
Prefer not to disclose
4.
AGE
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Prefer not to disclose
*
5.
GENDER
(Required.)
Non-Binary
Trans-Female
Cis-Female
Trans-Male
Cis-Male
No Gender
Prefer not to disclose
Please list if not above:
6.
Do you have any food allergies or dietary restrictions?
7.
Are there accommodations that can support your participation? We may not be able to meet every need but we will do our best.
