Sign up to Become a Participating Site

Please Note: Any organization of any size is welcomed to become a Participating Site of the Stand Against Racism; however, your organization must be located within the geographic area of a Participating YWCA Association. To see a list of Participating YWCA Associations, click here. There is no cost to participate.

 

The deadline to sign up is Friday, April 23, 2010. Organizations that sign up after this deadline will still be listed as a Participating Site but will not receive a toolkit in the mail.

 

To register fill out all fields below. Fields marked with an * are required.

 

Name of Organization: *
Contact First Name: *
Contact Last Name: *
Address Line 1: *
Address Line 2:
City: *
State: *
Zip Code *
Phone Number: * (format as 555-555-5555)
Email Address: *
Web site:
Login ID: * (up to 6 characters)
Password: * (up to 6 characters)

 

Which YWCA Association invited you to participate? 

 

*

 

Don't see your local YWCA Association? Click here

 

Did your organization participate in the Stand Against Racism event before?

 

Yes or No: *
If Yes, Year Please:

 

Will your Stand be Public (open to the public) or Private (for your constituents only)?

 

Please Choose: *

 

When we mail your toolkit (approximately 6 to 8 weeks before the event), would you prefer to receive:

 

Please Choose:

(please note additional buttons or stickers can be purchased on website)


What is the Date and Time of your Stand? (You must choose at least one date)

 

Friday, April 30, 2010 From Time to Time
Saturday, May 1, 2010 From Time to Time
Sunday, May 2, 2010 From Time to Time

 

Other information you would like participants to know about your Stand? (For example: the name of your speaker, parking information, other event-specific information that you would like people to know). This information will be displayed on our Web site:

 

 

Comments (optional). This information will not be displayed as part of your online listing: