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Safe Neighborhood Summit Registration

Safe Neighborhood Summit Registration

April 12, 2008, 1:30-6:30pm
Restoration Plaza
1368 Fulton St., Between Brooklyn and New York Ave.
A to Nostrand, C to Kingston-Throop, B44, B43, B25

I'd like to register for the Safe Neighborhood Campaign Summit.
I'm interested in volunteering for the Summit.
I am an S.O.S. Collective member.
I am a representative of a safe space.
 
Name (First and Last):
What pronouns (she, ze, he, etc) do you prefer?
 
Street Address:
City:
State:
Zip:
 
Phone:
Email Address:
 
Will you be bringing children? Yes No
If so, how many children?
 
Food preference:
Vegetarian
Vegan
None
 
Workshop Registration (pick one)
How to Prevent and Intervene in Anti-LGBTSTGNC violence
Strategies to Avoid Police Violence if you Have to Call the Police
 
How did you hear about us?