RA-GDP Registration Form Coordinator's First and Last Name*Coordinator's Email*If you are an organization and are registering multiple RA Groups, each RA Group should be submitted on a separate registration form, and each RA Group should have a designated coordinator and group name. Include your organization's name and the contact name and email for billing. We will submit one payment link to the organization for payment of all groups. Name of your organization, if applicable. Include the billing contact person and email.What is the name of your RA Group? Offer a fun name like Audacity, or Brave Souls, or The Innocents - have fun with coming up with a name.*How many people are in your RA Group? Your RA Group should be a minimum of 4, maximum of 7 members.*Participation in the RA-GDP must be by consent. Have each of your members agreed to fully participate in the RA-GDP?*What is the racial affinity or ethnicity of your group?*What are the gender identities of group members?*Provide Name and Email of each RA Group member. The coordinator should also be listed. Click on the + sign to add a new name and email.*First & Last NameEmail How will your RA Group meet each month?* Select All In Person Virtual Meeting A combo of both Once we receive your registration, a payment link will be sent to the coordinator. We prefer one payment for your group. For credit card use, you will need to add 3% for credit card processing fee. Fees may vary depending on Country. Registration is confirmed and your space secured once payment is received. Registration closes July 15. CommentsThis field is for validation purposes and should be left unchanged.