Diversity Workshop Registration Slip
This registration form is designed to collect essential information from participants like you to ensure a smooth and tailored experience during the workshop. Diversity and inclusion are crucial aspects of creating vibrant, innovative, and equitable environments in today's world.
Full Name: | [YOUR NAME] |
Company Name: | [YOUR COMPANY NAME] |
Email Address: | [YOUR EMAIL] |
Contact Number: | [YOUR CONTACT NUMBER] |
Job Position: | [YOUR JOB POSITION] |
Demographic Information (Optional):
Please indicate which sessions you would like to attend:
Session 1: | | Session 2: | |
Session 3: | | Session 4: | |
Any Dietary Restrictions: | |
Accessibility Needs (please specify if applicable): | |
Please indicate your reasons for attending this workshop (check all that apply): | |
Please list any specific expectations or goals you have for this workshop: | |
How did you hear about this workshop? (check all that apply):
Emergency Contact Information:
Name: | |
Relationship: | |
Phone Number: | |
I acknowledge that my participation in this Diversity Workshop is subject to the terms and conditions outlined by the organizers, including any workshop fees, cancellation policies, and code of conduct.
Signature:
Date: [September 26, 2050]
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