Continuing the Conversation:
Religion and Spirituality in LGBTQA Communities

November 7 - 8, 2014

Mid-Atlantic LGBTQA Conference - Registration

Group Registration:

To reduce confusion and streamline communication, we require groups of 3 or more who intend to pay together to register the group and select it during individual registration.

We recommend that a Faculty or Staff advisor accompany each student group.

Group leaders, please complete the Group Registration Form before attempting to register your individuals.

NOTICE!

  • The registration fee of $35 per person will include snacks and entertainment Friday evening as well as continental breakfast and catered lunch on Saturday.
  • A late registration fee of $45 will be effective for those who register after Monday, October 27.
  • No registrations will be accepted after Monday, November 3.
  • Individuals not attending with a group MUST submit payment no later than Monday, November 3, 2014. Reservations not paid in full will be cancelled.
  • Cancellation for an attendee/group after Monday, November 3, 2013 at 5:00PM will forfeit any refund.
  • Checks should be made payable to "Bloomsburg University" and note "LGBTQA Conference" in the Memo.

Please mail checks to:

Deb Chamberlain
121 Columbia Hall
Bloomsburg University
400 East 2nd Street
Bloomsburg, PA 17815

Registration Form:

Please select your group membership. If you are traveling with a group that is not listed, please ask your group leader to complete the Group Registration form linked above and wait one business day.
Please enter your name as you would like it to appear on your name tag.
Please enter your name as you would like it to appear on your name tag.
Please select your preferred pronouns. These will be included on your name tag.
Please indicate the age you will be on November 7, 2014.
Please enter your email address. Only one registration permitted per email address. If you need to revise your registration, please contact LGBT@bloomu.edu.
Please select your academic standing as of the Fall 2013 Semester.
Please enter the name of your College/University or Non-Profit Organization. (Not required when group membership is selected.)
Please enter the name of your College/University sanctioned organization. (Not required when group membership is selected.)
Please enter your position within the above organization. (President, Advisor, Chair, Treasurer, Member, etc.)
Please describe any special dietary or physical needs.