Conference Registration Fees
Low income full conference (Sat. noon to Mon. eve.) -- $100
Includes Saturday & Sunday dinners and Sunday brunch.
Call 510-595-4634 for qualifying information. Low income fee may be
paid by credit card by calling 510-595-4634.
On site child care provided.
Some volunteer opportunities still available to offset registration fees.
Call 510-595-4634 to volunteer for the conference.
Some partial scholarships available.
Call 510-595-4634 to apply.
For overnight accommodations, call the DoubleTree Hotel, Newark
Airport, 1000 Spring St., Elizabeth, NJ
1- 800 - 222 - TREE and ask for FACING A CHALLENGE WITHIN special
discount of $99/night plus tax per room (for up to 4 adults to share.)
REGISTRATION FORM:
Please copy the following and send it in via email.
Email to ResponsibleLeft@yahoo.com
Or Print & Bring to the conference with Check or Money order
Make checks payable to:
Catalyst to Coalition
Att: Judy Andreas
1442A Walnut St. #307
Berkeley, CA 94709
Name__________________________________________________________________
Address________________________________________________________________
Address
2_______________________________________________________________
City____________________________________________________________________
State_____________________________________ Zip__________________________
Phone:
_________________________________________________________________
E-mail:
_________________________________________________________________
Full conference? Half day? (Please specify day):________________________________
_________________________________________________________________
Social / political / cultural identities and involvements:____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Why I'm interested in this conference:________________________________________
_______________________________________________________________________
_______________________________________________________________________
Requests regarding special needs /accommodations:____________________________
_______________________________________________________________________
_______________________________________________________________________
American Sign Language interpretation needed?:
Do you need child care?______________ What days & times?
___________________
What ages?________________________ Number of children?__________________
Do you need kosher meals?____________
Registration fees: Check? Amount? Credit card online payment
completed?
FACING A CHALLENGE WITHIN: 
