CFEE Online Registration Form

Seminar Date

District/Organization (required)

Address (required)

City, State, ZIP (required)

Team Member 1: Name and Title

Team Member 1: Racial Identity

Team Member 1: Phone

Team Member 1: Email

Team Member 2: Name and Title

Team Member 2: Racial Identity

Team Member 2: Phone

Team Member 2: Email

Team Member 3: Name and Title

Team Member 3: Racial Identity

Team Member 31: Phone

Team Member 3: Email

Team Member 4: Name and Title

Team Member 4: Racial Identity

Team Member 4: Phone

Team Member 4: Email

Lodging

Single Occupancy, $1700Double Occupancy, $1550

Method of Payment (required)

I have a PO number.I will mail a check.

Please mail checks made out to "OR Center for Ed Equity" to 5606 N. Maryland Ave., Portland, OR 97217 or enter your PO number below.

Our submission function isn't working right now. Please copy and paste this info into an e-mail and send it to rector.ocee@gmail.com