Gender Werk! 2019 Registration Gender Werk! Decolonizing Your Practice / Cultivating Inclusive Spaces, September 2019 Your Name* First Last Your cell or contact number*Your email* Preferred pronoun/gender ID Where do you work? What Department? Your role at this organization If you work with youth, what age range do you work with? Please describe your level of gender proficiencyWhat do you hope to get out of the workshop?Do you need a certificate of completion for PD hours? Yes Registration Fee* Price: Scholarship Code If you've received a scholarship, please enter the code here.Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged. Δ