Registration for the "Abolish Border Imperialism!" Convergence
Event Timing: October 6-8, 2017
Event Address: Minneapolis, MN
Questions? -> Contact us at
Sign in to Google to save your progress. Learn more
Name *
Email *
What are your preferred gender pronouns?
Organization or Affiliation
Your address
Your telephone number (cell preferred)
Are you a member of the Abolition collective or editorial board? *
What days will you attend? *
In what ways are you planning to participate? *
Would you be interested in volunteering to moderate a panel?
Clear selection
Are you a youth (ages 12-19) who will be attending without your parent or guardian?
Clear selection
Dietary restrictions *
Will you need childcare?
(We will have a room and paid childcare workers available. If your child has special needs, please note this here.)
Will you need translation/interpretation? If so, what kind will you need?
Additional accommodations?
The Division of Indian Work, the Midtown Global Market, and the Hyatt Place hotel are all ADA-standard accessible spaces. We realize this does not cover everyone's needs or situation! Please describe below any additional accommodations we can provide to help you and/or your family fully participate in the convergence.
For lodging, are you interested in being hosted at a home in the Twin Cities?
Clear selection
For those of you who live in the Twin Cities, would you be interested in hosting participants at your home? (If so, how many could you host?)
Registration Fee (sliding scale) *
PLEASE PAY THE REGISTRATION FEE by going to or clicking the desired link below. Enter the amount you are able to pay, which will be sent to (you can change the defaults.)  We are requesting a sliding scale registration fee (between $0 and $125) to help cover the cost of the convergence, and to keep it free for those who need it to be. Please donate according to your ability; the following are only very general suggestions and we hope you will pay what you can afford. For those who are able to pay a higher registration fee, we greatly appreciate your doing so in order to subsidize the costs for all attendees. The registration fees will pay for the costs of the venues, food, childcare, materials, and will subsidize registration, housing, and travel for some participants. For example, around $30 covers the cost of meals for one person. If you do not have a PayPal account or prefer to send a check/money order, please make it out to "Abolition Convergence" and mail to: Abolition Convergence c/o Althea Sircar, 1674 Grand Ave Apt 2, Saint Paul, MN 55105, USA. Please include your name and the names of any others registering with you and make sure you also submit this registration form online!
How did you hear about the convergence?
Please let us know (email or describe below) if you have safety concerns about being photographed and/or recorded during a convergence event, and we will make a request to the audience to keep the session you are in phone/camera-free. In any case, the public plenary and Q&A on Friday will be photographed/recorded for our own publicity and documentation.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy