UCB Student Form

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UCB Student Form

Registration for the 28th Empowering Women of Color (EWOCC) Conference: Labor of Love, Labor of Sorrow: Bodies and Souls Building Life

Conference Date: March 16, 2013

Conference Site: Wheeler Hall, University of California at Berkeley

On-Line Registration: ends March 12, 2013

*Don't forget to bring your student IDs. Your registration fee is waived if you are currently a UCB registered student. Please complete this form.

Email register.ewocc@gmail.com if you have any questions.

Thank you!

SID *

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone

Email *

How did you hear about this conference? *

Have you attended EWOCC before? *

Yes

If yes, what year(s)?

What is your level of study? *

Undergraduate

Masters/Professional degree

Ph.D.

Field of Study

What made you interested in attending this conference? *

Do you need childcare during the conference?

Yes

Clear selection

If, "yes," to childcare, please list the name(s) and age(s) of you child(ren) in the space below. Childcare will be in the student union.

Submit

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