Individual registration

Please enter information in the form below to process registration for event 2024 Fall Session.

Username*

Password*

Retype password*

First Name *

Last Name *

Phone *

Email *

Address *

City *

Zip *

Country *

What is your gender identity? *

How did you hear about this class?

Have you taken Black History for a New Day? *

How would you describe your level of understanding and comfort with racial justice and Black history? *

Please rank how comfortable you are with technology? (1 -not comfortable, 5 - comfortable) *

What other trainings or classes have you taken related to racial justice and Black history?

How Are You Taking The Course *

Photo Release *

As part of registering you hereby grant permission to use photographs and videos of you taken in publications news releases online and other communications related to the mission of Nehemiah. Thank you!
NO, thank you.

Company/Organization Name (if applicable)

Credit Card Payment

Coupon

Credit or Debit card

Verification code*

Register for the Current Session