CWU: SESSION 1: ANTI-RACISM

Sunday 7th November 2021 - 10.00 – 12.00

No more than 3 names can be registered as delegates for each session.

Branch Name:*

Lead contact telephone number:*

Delegate #1 Name:*

First Last

Delegate #1 Position Held:*

Delegate #1 Email:*

Enter Email Confirm Email

Delegate #1 Phone:*

Would you like to register a second delegate?*

Delegate #2 Name:*

First Last

Delegate #2 Position Held:*

Delegate #2 Email:*

Enter Email Confirm Email

Delegate #2 Phone:*

Would you like to register a third delegate?*

Delegate #3 Name:*

First Last

Delegate #3 Position Held:*

Delegate #3 Email:*

Enter Email Confirm Email

Delegate #3 Phone:*

Would you like to register the above delegates for all other sessions?*

If 'yes', there is no need to complete the forms for other sessions.