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Registration

You can register online using this form, or print out the registration form (pdf format), and mail it to:

Youth Seeking Justice Now!
120 Cox Ave.
Apt. 6
Raleigh, NC 27605
919.832.7056

Bold fields are required.

Name:   
Address line 1:   
Address line 2:   
City:      State:      Zip:   
Phone Number:    ext 
Fax Number:   
Email:   

Organization:   

Who did you hear about the conference from?   

What days do you plan on attending?   Friday    Saturday    Sun

Do you need housing? (check nights needed)   Friday    Saturday

Any dietary restrictions?   

Would you like childcare? (availability is not yet guaranteed, check days needed)
   Friday    Saturday    Sun

Will you need any special accomodations? Please explain.


Do you have any questions or comments about the conference?


Registration fee is $5, payable at the door. Food and transportation will be provided during the conference, but you will need to arrange transportation to/from the conference. If you need housing, we will try to place you in free housing or arrange for you to share a hotel room with other conference participants at a discount rate. If you need help with transportation, housing, or registration, we may be able to provide scholarship money, please email ncprisonconf@hotmail.com to apply.

  
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Sponsored by the African-American Cultural Center, Knowledge-Wisdom-and Understanding, Campus In Action, Grassroots Leadership, Reciprocity, Office of the Vice-Provost of Diversity and African-American Affairs at NC State, and UE 150A at UNC Chapel Hill.