October 2025 Convening Registration Form

Email Address

Preferred Pronouns

Organization

Role Within Organization

Are you an Intern/Fellow at your organization?

Yes

Is this your first DCSJTN Convening?

YesNo

*** PLEASE NOTE*** For first time convening attendees we will have an Network Orientation, October 8th, 12pm-1pm. Please save the date.

Are you participating in any of the following teams/groups? Please check all that apply.

Do you have any dietary restrictions and/or allergies we need to be aware of?

Do you require any specific accommodations or assistance to fully participate in this event?

Anything else you'd like us to know?