For Unity Now (FUN) Youth Leadership Conference 2015 (June 25-26) Registration
UPDATE: REGISTRATION IS NOW CLOSED!

Thank you so much for your interest! Hurray we have reached our goal of 150 students registered for the FUN Conference and are so excited for a great event!
AS OF JUNE 15, 2015, REGISTRATION IS OFFICIALLY CLOSED FOR FUN CONFERENCE 2015. WE HAVE FILLED ALL OF THE AVAILABLE SPOTS FOR THIS YEAR. IF YOU REGISTER ON OR AFTER JUNE 15 WE WILL PUT YOUR NAME ON A WAITING LIST AND WILL CONTACT YOU IF SPACE BECOMES AVAILABLE. Thank you again for visiting the registration page.

A FREE event for Dona Ana County, NM youth entering 6-12 grade to build their leadership skills, talk about issues that are important to them, and design projects to get involved in their school or community!
June 25-26, 2015 at Dona Ana Community College, East Mesa Campus
Food, transportation, and translation will be provided.

Get the latest conference updates on our facebook event page and be sure to RSVP there too: https://www.facebook.com/events/863167810425784/

Contact Amanda Formica, Ocotillo Institute for Social Justice, at amanda@cfsnm.org or 575-521-4794 with any questions.
Student first name *
Student last name *
Date of birth *
MM
/
DD
/
YYYY
Emergency contact person full name *
Emergency contact person's phone number *
Medical insurance *
Family doctor name and phone number *
Parent/guardian name *
Parent/guardian phone number *
Parent/guardian email
Student's cell phone number *
Student's email
Mailing address *
In order for this registration to be complete, we will need a parent/guardian permission signature. We will mail you a permission slip that you can bring filled out to the conference.
City/Town *
Zip Code *
Physical address and zip code *
Primary language of student *
Grade in school as of fall 2015 *
Allergies, special dietary restrictions, medical considerations, or accessibility concerns for your child
Will your child need transportation to/from the conference? *
Your child's t-shirt size *
Please pick which issue area your student is most interested in! *
This will help us with workshops for day 2 of the conference.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy