21 Day Challenge 2020 Registration
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Name:
Email:
Comment:
Email Address
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First Name
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Last Name
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Zip Code
YWCA may publicly list me as a participant
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Do we have your permission to publish your name as a participant in the 21 Day Racial Equity and Social Justice Challenge?
Why are you participating in the Challenge?
Age Group
17 or younger
18-20
21-29
30-39
40-49
50-59
60+
Race/Ethnicity (choose as many as apply)
Native American/Indigenous/Alaskan Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
Hispanic/Latino, Latina/ Latinx
Middle Eastern or North African
White
Multiple Races