A Conversation for a Thriving Indianapolis Registration Form

Please complete the registration form below. If you have any questions or need to make changes to your existing registration, please contact Rob MacPherson, Vice President of Advancement, at robm@indianapolisfoundation.org.

2025 CREEO Event - Dr. Eddie Glaude - Nov. 20

First Name

Last Name

Your Primary Email Address

Have you used another email address with CICF before? If so, list it below.

Have you used another email address when interacting with CICF before (A work email, personal email, alternate email, etc.)? If so, type it in above. We are not storing this email address; we are temporarily referencing this secondary email address to keep our database clean.

Organization

Title

Would you like to bring a guest?

Yes

Guest First Name

Guest Last Name

If you are human, leave this field blank.