Social Justice Summit

Registration Title

Saturday, April 14, 2012

Space is limited. Pre-registration guarantees your entry to the Summit, as well as a free lunch.
The pre-registration window is available January 25 - April 13, 2012 by 12:00 p.m..**
Registration is subject to earlier closing based on space availability, so register early.

First Name:	*
Last Name:	*
Address:
City:	*
State:	*
Zip:
Daytime Phone:	*
Email:	*
School/Organization:
How did you hear about the event?
Special Needs *
Interested in being Summit volunteer?

*Please indicate if you have dietary needs, are in need of a translator or have any other special needs that the Summit committee may accommodate.