* First Name

* Last Name

Title

Organization

Mailing Address

City

State

Zip Code

* Email Address

* Phone Number

* How many guest(s) will you bring?

One

Two

Three

Four

Five

Six

Seven

Eight

Nine

Ten

Please select the themes you would be interested in discussing during the networking session of the event.

Teaching and Learning Spaces

Youth Activism

Media and Pop Culture

Archives and Historical Memory

Youth Identities

Mental Health and Well Being

Carceral System and Juvenile Justice

Families, Kinship and Care

If your work does not align with the themes mentioned above or if you would like to propose a separate theme for discussion, please suggest below.

What are some questions or issues that guide your work?

What collaborations and connections do you hope to make with the larger community at this event?

Centering Black Childhoods: Engaging Voices and Collaborative Conversations