Breaking the Chains: 2019 Women's Socialism Conference
Register today for the 2019 Women's Socialism Conference taking place on Saturday, March 23rd at 10AM at 2936 W. 8th Street, Los Angeles, CA 90005.

if you are a PSL member, this is NOT your registration form. Please fill out this registration form: https://goo.gl/forms/t6KglVtliatfwoGD3

Email address *
First Name *
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Last Name *
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Phone Number *
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Please confirm attendance at this conference: *
FOOD
Please mark any food preferences/dietary restrictions
Please indicate any other food-related restrictions/allergies you may have:
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CHILDCARE
Will you need childcare during the conference?
How many children will need care during the conference?
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If yes, what age is your child/are your children?
ADDITIONAL INFORMATION
Are you planning to drive to the conference, carpool, or take public transit? *We suggest public transit or carpooling due to limited parking*
We will be having a social event immediately following the conference at 4pm. Would you be interested in attending?
How did you hear about this conference?
If you are a part of a grassroots/political organization, please list the organization(s) below:
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Additional Comments/Questions
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