Join the 2019 Rebel Womxn Gathering

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Event Dates: July 9th - 12th
Event Location: New Orleans, Louisiana
Email: rebelwomxn@gmail.com
Website: rebelwomxn.com
Instagram: @rebelwomxn

First Name *

Last Name *

Pronoun (she, they, he, ze etc.) *

Instagram Name (if you don't have one, write "I do not have one") *

Email *

Phone Number *

Dietary needs & restrictions (please provide all the information we will need to assure your dietary needs are met) *

What is drawing/calling you to the Rebel Womxn gathering? What are you seeking from this collective? *

Travel Plans (how will you get to NOLA?) *

A I R P L A N E - (please email us with your itinerary once scheduled)

B U S - (please email us with your itinerary once scheduled)

T R A I N - (please email us with your itinerary once scheduled)

D R I V E - (please email us with your itinerary once scheduled)

Required

Accommodations (prices below include meals, lodging, workshops and excursions): *

L O C A L - (Workshops only) --> $120 ($108 early bird) for all workshops

L O C A L - (Workshops and meals) --> $190 ($171 early bird) for all workshops and meals

WAIT LIST - Slots are full and registration is closed for those who need accommodations - Interested in being contacted when and if a space opens up? Click this link.

Required

Choose Registration Package *

Early Bird Registration - After submitting my $100 deposit to secure my spot I will be paying my remaining balance in full by April 30th, 2019

Standard Registration - After submitting my $100 deposit to secure my spot I will be paying my remaining balance in full by June 1st, 2019

Required

Payment Plan - do you want the option to break your payments up into smaller payments on a schedule? *

Yes

Maybe

Required

As we organize the room assignments to make sure we can accommodate everyone we can we are asking folks up front if they would be willing to share a bed with another Rebel Womxn participant? *

Yes - I am open to sharing a bed with another Rebel Womxn participant

No - I am not open to sharing a bed with another Rebel Womxn participant

Maybe - could we discuss this further via email or phone to get needed questions of mine answered prior to providing a final answer

I understand that I should NOT buy my plane/bus/train tickets just yet. WAIT for a message from Rebel Womxn within 24 - 48 hours after you BOTH register AND submit a deposit. We will message you confirming your registration, payment and spot in the 2019 gathering. Thanks in advance for your patience and interest in Rebel Womxn!

Yes

I understand that I have to pay $100 non-refundable deposit to officially reserve my spot. *

Yes

Required

I understand that for EARLY BIRD registration I have to be paid in full by April 30th, 2019. *

Yes

Required

I understand that for standard registration I have to be paid in full by June 1st, 2019. *

Yes

Required

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