UNR Spring Regional Trainings RSVP Form
Please fill out this form so we can know to expect you at one of our upcoming regional trainings. Be sure to select the training location near you.

Registration payment is due by the time of your training and can be submitted at this time. Your registration includes housing, meals, materials, and access to programming during your Regional Training. It does not include travel or incidentals. We expect participants to fundraise and request financial assistance from your school to cover registration and travel costs.

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First name *
Your answer
Last name *
Your answer
Phone number *
Your answer
Email (personal) *
if you do not have a personal email address please write N/A
Your answer
Email (school/work) *
if you do not have a school or work email address please write N/A
Your answer
Where are you based? (city and state) *
Your answer
Which training would you like to attend? *
Which of the following best describes your position/job/role? *
This is just so we can get to know who is in the room and where y'all are coming from
Required
School name + graduation year (if applicable) *
If you are a student or did attend an institution of higher education, please write the name of the school you attended here.
Your answer
What organization(s) are you a part of? *
Your answer
How many others from your school or organization do you expect to attend? Please list their names below. *
write "N/A" if this doesn't apply to you.
Your answer
What social movements do you consider yourself a part of? *
Your answer
How much do you expect travel to cost in total for you and/or your team? How much do you expect to be able to cover on your own?
This is so we can calculate how much we need to set aside for scholarships if needed. NOTE: If you're attending a one-day training, this is not applicable to you.
Your answer
Have you figured out accommodations? If so, where will you be staying?
If not, a member of our logistics team will be in touch with you to help set up your accommodations. NOTE: If you're attending a one-day training, this is not applicable to you.
Your answer
Do you want to receive emails about Uprooted & Rising in the future? *
Language Interpretation: This training will be conducted primarily in English. If you would like to request interpretation in another language, please do so by using the checkboxes below. Please let us know at least 2 weeks in advance of the event. We'll do our best to arrange interpretation. Interpretación de idiomas: este evento se realizará principalmente en inglés. Si gustaria solicitar la interpretación en otro idioma, por favor utiliza las casillas a continuación. Por favor, háganos saber al menos 2 semanas antes del evento. Haremos nuestro mejor esfuerzo para organizar la interpretación. *
Required
Do you have any dietary restrictions? If so, please list here.
Your answer
What accessibility accommodations do you need?
Do you need accommodations around chemical sensitivity and/or allergies? Do you need wheelchair accessibility? Any other accessibility needs that would support you in the training? Noting that we will be sleeping in sleeping bags / sleeping pads on the floor. Please add here if you will need to sleep in a bed during the training, and we will be happy to set you up with a local host.
Your answer
Emergency contact name *
Your answer
Emergency contact phone number *
Your answer
Emergency contact relation to you *
Your answer
Do you wish to pay for registration at this time? *
Anything else we should be aware of? What questions do you have? What are you most excited about?
Your answer
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