Registration Form (Remember, all questions are optional...)
1.) Are you registering as an: Individual Group
2.) Group/Collective or Individual Name:
3.) Number of individuals:
4.) Names (among collective):
5.) Where you live:
6.) E-mail(s):
8.) Phone:
9.) Other groups You Are Part Of (Collectives, Organizations, Coops, etc):
10.) Do you need housing? Yes No
Other accessibility issues? Do you need a bed or is floor-space OK? Other needs?
Preferences of who to be housed with? Will you have a vehicle while in Atlanta? (In order to pair you with housing you can get to): Yes No
11.) Do you want to receive information about possible sites for camping in the area? Yes No
12.) Will you need Spanish-to-English interpretation? (*We will try to accommodate requests for Spanish interpretation) Yes No
13.) Do you have any special food/dietary needs? Allergies?
14.) Any ways you can help out during the conference… (Childcare? Cooking? Driving your vehicle? Providing housing in Atlanta? Spanish interpretation?):
Any comments?
