Combat Hate School Registration Form

Combat Hate Registration

Please list the dates you are interested having this workshop. If you are unsure, please write UNKNOWN.
Name(Required)

School Information

Address
Please provide what grade levels (7-12) will be participating in the workshops.
Please provide an approximate number of students that will receive the workshop across the school. If you are unsure, please write UNKNOWN
Please provide a copy of your school’s daily class schedule. If your schedule changes throughout the week, please provide adjusted schedule as well.
Drop files here or
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 100 MB, Max. files: 5.
    (Special Needs? Etc)
    This field is for validation purposes and should be left unchanged.