REGISTER

What to Expect:

Please fill out the registration form as soon as possible to reserve your spot at the conference. Space is filling up quickly!
You will receive a confirmation email immediately that includes a receipt and QR code for check-in.
You will not receive a registration packet immediately. Please allow time for our team to process your registration for safety and security. Within 24 to 48 hours, you will receive a registration packet to your email. The packet will contain information about the location, hotel recommendations, parking, and other logistics. (Please check your spam folder as well).
We will continue to share program and logistical updates to registrants as we get closer to the event.

Registration fees contribute to fundraising efforts for aid and reconstruction in Gaza. No one turned away for lack of funds.
If you cannot afford the registration fee, please fill out this form to request accommodation.

Conference Registration*

Full Conference Registration

Full Name (as listed on ID)*

Preferred Name*

Email*

Phone Number*

Address*

Are you part of an organization?*

Yes
No

What is your age range?

Under 18
18-24
24-30
30-45
45-65
65+

Please link social media profiles

How did you hear about the conference?

Would you like to volunteer?

Yes
No

Will you need interpretation?

Yes
No

Will children be attending with you?

Yes
No

Do you have any accessibility needs?

Do you have any dietary restrictions?

Yes
Meals will be available for purchase at the conference venue. We will do our best to ensure a variety of options are available for purchase, but cannot guarantee that all food allergies can be accommodated by the available vendors.
No

Pay-what-you-can Registration fee*

Registration ($60.00)
Registration ($100.00)
Registration ($150.00)
Registration ($250.00)
Registration ($500.00)

3% processing fee

$0.00

Registration fees contribute to fundraising efforts for aid and reconstruction in Gaza. No one turned away for lack of funds.
If you cannot afford the registration fee, please fill out this form to request accommodation.

Fee Waiver Code

Total

$0.00

BILLING INFORMATION

Name*

Use a previously saved card

Credit Card*

Visa
Mastercard
American Express
Discover

Save this card for future use

Address*

Email*

Mobile Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

RegFox Event Registration Software

Event Registration Software by RegFox