REI individual registration

ATTENDEE'S NAME *
ATTENDEE'S EMAIL *
PAYER'S EMAIL (IF DIFFERENT)

ATTENDEE'S MAILING ADDRESS *

STREET ADDRESS OR PO BOX
Street Address Line 2
CITY	STATE
ZIP CODE	Country

ATTENDEE'S PHONE NUMBER *

AREA CODE PHONE NUMBER
ATTENDEE'S RACE (FOR REI RECORDS) *

African American or black American Indian or Alaska native Asian Bi-racial / multi-racial Caucasian or white Hispanic or Latinx Native Hawaiian or other Pacific Islander
ATTENDEE'S AGE (FOR REI RECORDS) *

15-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-100
ATTENDEE'S GENDER (FOR REI RECORDS) *

Female Male Non-binary / third gender Transgender
ATTENDEE'S INDUSTRY (FOR REI RECORDS) *

Business or corporation Education Faith-based organization Government Nonprofit Neighborhood resident Social justice organizer or advocate Retired
ATTENDEE'S SPONSORING ORGANIZATION (SEE NOTE AT TOP OF PAGE)

Ashley Hall Charleston County School District Charleston Kids Coalition Charleston Promise Neighborhood Coastal Community Foundation Grace City Church Meeting Street Schools Metanoia North Charleston Police Department Reading Partners (staff & board) Serenity Now Sophia Institute Teach for America The Orange Phone Tri-County Cradle to Career Trident United Way Repeating REI participant
COMMENTS (IF ANY)
ATTENDEE'S DESIRED WORKSHOP *
MARCH AND APRIL PHASE I WORKSHOPS CANCELLED

Considering the serious risks of COVID-19 and recommendations for social distancing, we are cancelling our March and April REI trainings, and are in the process of contacting all registrants for those dates so we can reschedule them.

The safety and health of our community is our top priority. Please check this page after April 2 for updates. Stay healthy and take care of each other!
DIETARY RESTRICTIONS

Gluten free Vegetarian Vegan Nut allergy
ATTENDEE'S LUNCH ORDER: DAY 1 *

Turkey & Swiss sandwich - Oven-roasted turkey breast, cheese, lettuce, sauce on honey wheat Ham & Havarti sandwich - Cured ham, cheese, green-leaf lettuce, sauce on sourdough Trio Classic sandwich - Ham, turkey, lean roast beef, Swiss cheese, lettuce, sauce on 13-grain Egg salad sandwich - Egg salad, Swiss cheese, avocado, lettuce on sourdough Vegetarian sandwich - Mushroom, cucumber, tomato, sprout, red pepper, avocado, lettuce, cheddar, pesto mayo on 13-grain Gluten-free sandwich with fruit cup Turkey bacon ranch wrap - Turkey breast, Swiss cheese, bacon, tomato, lettuce, ranch Chicken Caesar wrap - Chicken breast, romaine lettuce, parmesan cheese, Caesar dressing Vegetarian wrap - Same as vegetarian sandwich above but on a wrap Pear & goat cheese salad - Fresh salad greens, sweet pears, goat cheese, candied walnuts Chicken Caesar salad - Grilled chicken breast, romaine lettuce, parmesan cheese, croutons Classic Cobb salad - Grilled chicken, bacon, hard-boiled egg, bleu cheese crumbles, greens Chef salad - Oven-roasted turkey, cured ham, hard-boiled egg, jack & cheddar cheese, greens Garden vegetable salad - Lettuce greens with garden vegetables
SALAD DRESSING: DAY 1 (if you selected a salad above)

Signature ranch Vidalia onion BBQ ranch Sesame ginger Poppy seed Caesar Blue cheese Apple cider vinegar Balsamic vinegar Fat-free raspberry vinegar
ATTENDEE'S LUNCH ORDER: DAY 2 *

Turkey & Swiss sandwich - Oven-roasted turkey breast, cheese, lettuce, sauce on honey wheat Ham & Havarti sandwich - Cured ham, cheese, green-leaf lettuce, sauce on sourdough Trio Classic sandwich - Ham, turkey, lean roast beef, Swiss cheese, lettuce, sauce on 13-grain Egg salad sandwich - Egg salad, Swiss cheese, avocado, lettuce on sourdough Vegetarian sandwich - Mushroom, cucumber, tomato, sprout, red pepper, avocado, lettuce, cheddar, pesto mayo on 13-grain Gluten-free sandwich with fruit cup Turkey bacon ranch wrap - Turkey breast, Swiss cheese, bacon, tomato, lettuce, ranch Chicken Caesar wrap - Chicken breast, romaine lettuce, parmesan cheese, Caesar dressing Vegetarian wrap - Same as vegetarian sandwich above but on a wrap Pear & goat cheese salad - Fresh salad greens, sweet pears, goat cheese, candied walnuts Chicken Caesar salad - Grilled chicken breast, romaine lettuce, parmesan cheese, croutons Classic Cobb salad - Grilled chicken, bacon, hard-boiled egg, bleu cheese crumbles, greens Chef salad - Oven-roasted turkey, cured ham, hard-boiled egg, jack & cheddar cheese, greens Garden vegetable salad - Lettuce greens with garden vegetables
SALAD DRESSING: DAY 2 (if you selected a salad above)

Signature ranch Vidalia onion BBQ ranch Sesame ginger Poppy seed Caesar Blue cheese Apple cider vinegar Balsamic vinegar Fat-free raspberry vinegar
slot2
slot1
slot3
slot4
slot5
slot6
slot7
slot8
slot9
slot10
slot11
slot12
Feb 2019 Phase II
April 2019 Phase I
May 2019 Phase I
June 2019 Phase I
July 2019 Phase I
August 2019 Phase I
Sept 2019 Phase I
Oct 2019 Phase I
Nov 2019 Phase I
ARE YOU A YWCA.GC MEMBER?
Our members receive 10% off all our events! If you are a YWCA.GC member, please enter coupon code YWCA.GC
10% OFF
100% OFF
TOTAL COST

TOTAL COST

USD Description

CREDIT OR DEBIT CARD
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Should be Empty: