Families United 4 Justice National Network Gathering, June 28th-July 1st, 2018
If you have not joined the Network, please join the Network at http://www.fu4jgroup.website/join.html. Priority is given to Network memberships Families first.

Registration is now open to first 75 registrants. These fees are for Network membership early registrants. Note: there is one early registration phase. Early bird registration ends on May 20th, 2018. All online registration ends on June 20th, 2018.

All payments made at the discount rate must be concluded by the last day of the discount. For check payments, the postmarked date on the envelope must be by the deadline of the discount date in order to receive it. You will not be able to buy tickets at the door, but in order to avoid the rush, we recommend registering in advance to receive online registration discounts.

Registration and Donation by Mail:

To register by mail, please provide:

1. Names of persons to be registered
2. Address
3. City, State, Zip Code
4. Email
5. Check with the total sum

OR

5. Credit card type (Visa/MC/AmEX)
6. Credit card security number
7. Credit card expiration date

If you are paying by check or money order, please make out the check to Social Good and designate "registration" or "donation" and mail it to:

Love Not Blood Campaign
c/o FU4J
1165 Adrian Way
San Jose CA 95122


Thank you for your interest!

Email address *
Are you a Member of FU4J Network? *
First & Last Name *
Your answer
Cell Number
Your answer
City & State & Zip Code *
Your answer
Are you a family member of someone who died during a police-related incident? *
First & Last Name of your loved one?
Your answer
Your relationship to Loved one murdered *
Are you bringing children? *
How many children? *
How many are you registering? Include Yourself, Children, Spouse, others - example yourself and child equals 2 *
Registrant 1- First & Last Name is yourself as registrant 1
Your answer
Registrant 2 - First & Last Name - example is spouse or significant other or child
Your answer
Registrant 3 - First & Last Name - example is child or family member
Your answer
Registrant 4 - First & Last Name - example child or family member
Your answer
Do you have an organization? *
Organization Name
Your answer
Accommodations
Will you be staying at the hotel *
Room Type? (All rooms are non-smoking)(most room are double Beds - two to a room) *
Do you have any accessibility needs? *
What are your accessibility needs?
Your answer
Do you have any dietary restrictions we should note? *
What are your dietary restrictions?
Your answer
Would you like to present a workshop? *
What type of workshop? *
Short Abstract of workshop presentation? (150 words)
Your answer
Workshop Presenter Short Bio?
Your answer
How did you learn about our National Network Gathering? *
What is your preferred gender pronoun?
Your answer
Event Fee(s) Early Bird Ends May 20th - Cover entire conference *
Required
A copy of your responses will be emailed to the address you provided.
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