Subsidy Application
61st Annual Fellowship of Reconciliation NW Regional Conference at Seabeck, WA
Friday, June 28th – Monday, July 1st, 2019

Please fill out this form completely to be considered for a subsidy to attend this year's NW Regional Conference at Seabeck, WA. We will contact you when we have reviewed your application.
Email address *
Applicant's Name *
Your answer
Age *
As of June 28th, 2019
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Do you identify as a person of color, LGBTQ+, differently abled or any marginalized group of people? If so, please identify. We ask because we will consider this in your request as we aim to support a wide diversity of conference attendees. *
Your answer
Have you attended Seabeck before? If yes, how many times? *
Your answer
Why are you attending the Seabeck Fierce Vulnerability Conference this year? *
Your answer
The lowest registration fee is $225 for a shared room with shared bath and all meals. How much are you able to pay? *
Your answer
Is there anything else you would like to tell us?
Your answer
Thank you!
Please click the blue SUBMIT button below to send us this information! We will contact you when we have reviewed your application.
A copy of your responses will be emailed to the address you provided.
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