Registration Form

First Name *

Last Name *

Personal Email Address * 🛈

Confirm Email Address *

Home Address *

City *

State

Province

Zip or Postal Code *

Country *

Phone *

Please Enter the Name of Your School or Organization *

Role in School or Organization *

The Workshop will be available from midnight (New York Time) on Friday, March 1, 2024 and continue through midnight on Sunday, March 3, 2024.

The Workshop tuition is USD $150.00

Please Note: The lectures are streaming, and require internet access to listen. The tuition is for one person.

I wish to register for the Weekend Gender and Identity Online Workshop from March 1 through March 3, 2024. *

Gender and Identity Workshop . . . . . . $150.00

Please pay with PayPal or Check.

International Registrants, please pay with PayPal only. We cannot accept international checks.

I Will Pay With *

PayPal

Check (Only available in the USA)

Please make checks payable to "Millennial Child Inc" and send to:

Millennial Child Inc

76 Grouse Hill Road

Barto, PA 19504

Any questions, changes, or requests will be addressed by emailing iWaldorf@iCloud.com