GEAR UP Alabama Fall Conference Registration
Please complete the following in order to register for the Fall 2018 GEAR UP Alabama Future Proof Conference Featuring Let Us Make Man.

The conference will take place in Birmingham on September 29th, 2018. The conference is free and open to members of the GUA community. Registration begins at 8am, begins promptly at 9:00am and ends no later than 4pm, with breakfast and lunch provided.

Contact Mig Yisreal with any questions: myisreal@uab.edu

GUA Region *
GUA District *
Your answer
First Name
Your answer
Last Name *
Your answer
Email Address *
Your answer
T-Shirt Size (in case we're able to provide t-shirts) *
Are you planning on bringing GUA students with you? *
If you answered yes to the previous question, how many students do you plan on bringing? We will contact you for firm numbers by September 21.
Your answer
Will your district need financial support for transportation? If yes, how many buses will you need? (answer example = Yes; 2) *
Your answer
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