Your Email (either email or phone is required):
Your Phone Number (either email or phone is required):
---SummerlandPentictonOliverOsoyoosNaramataKaledenOK FallsKeremeosCawstonPrincetonOther (please specify below)
Which best of the following best describes you?
---Indigenous/First NationInuitMetisVisible Minority (e.g. Black, Hispanic, Asian, etc)Invisible minority (e.g. white immigrant not from English/French speaking country)WhiteOther
---15-2425-5455-6465 and over
---Cisgender FemaleCisgender MaleTransgender FemaleTransgender MaleAgenderGender FluidNon-conforming/Non-binaryInter-sexThird GenderTwo SpiritOtherPrefer not to say
How did you hear about the Anti-Racism Forum?
---SOICS, OneWorld FestivalTraditional Advertising (e.g. Newspaper, Radio, TV)Social MediaBlog or PublicationPosterCommunity Organization/Business (please specify below)Email BlastSearch Engine (e.g. Google, Yahoo, etc.)Word of mouth, Recommended by a friend or colleagueOther (please specify below)
Would you like to be informed about future anti-racism initiatives?
What are you hoping to learn at the event?
By checking the box above, I understand that Penticton & District Multicultural Society (dba: South Okanagan Immigrant and Community Services; Hereinafter referred to as SOICS) may take photos and video at the event. By registering and attending the Anti-Racism Forum, I hereby give my consent to SOICS, its affiliates (e.g. funders and partners) and agents, to use my image and likeness and/or any interview statements from me in its publications, advertising and/or other media activities (including the Internet). This consent is given in perpetuity, and does not require prior approval by me.
Please leave this field empty.