AMKA 2019 - Registration Form

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Thank you for your interest in registering for Umoja's 7th annual Amka Conference. Please fill out this form to register individually or as a group.

Learn more about the conference here: http://sites.middlebury.edu/umoja/amka-conference/

If you are registering as a group, please be prepared to provide the following information:
• Name and preferred gender for all attendees in your group
• Any dietary restrictions
• Transportation you plan on using to arrive to our campus
• When and at what time you will arrive on our campus before the conference

First Name *

Last Name *

Are you a...? *

Middlebury Student/ Faculty/ Staff

Middlebury Community Member

Non-Middlebury Guest

Mark all conference programming you (and your group) plan on attending (all on Sat. April 6) *

Keynotes and workshops (10am-5pm)

Gala Dinner (5.30-8pm) (You can only secure your seat at the dinner by attending the full conference)

AfroBeats After Party (10pm-2am)

Required

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