2008 Unity Conference Registration Form
April 4 to 6, 2008
Chapel Hill, N.C.

Have you attended Unity in the past, if so, which year(s)?

2003 2004 2005 2006 2007

Would you like to receive more information about making a donation to the 2008 Unity Conference?

Yes No


CONTACT INFORMATION

First Name: Last Name:

Street Address: Apt #:

City: State (ex: NC): Zip:

Phone Number (ex: 9195551234):

E-mail Address:


AFFILIATIONS

Will you be 18 years of age or older by April 4, 2008? If not, you will need a parent or guardian to sign a release form in order to attend the Conference.

Yes No

Please list school or university you are currently enrolled in or affiliated with, if applicable:

PID (for UNC-Chapel Hill students only)

What is your specific affiliation?

Undergraduate student (list year of graduation)

Graduate student

Faculty (list department)

Staff (list specific title)

Please list any student or community group you will be representing at this conference:

Please note that registration is free for all UNC-Chapel Hill students and for all others $10 to $40 sliding scale (meaning you decided how much between the two you would like to pay). The $10 fee will be due upon arrival. If this presents a financial burden, please let us know in the comment area.


FOOD

Please note that registration includes admission both the Welcome Dinner and Closing Brunch.

Are you planning to attend the Welcome Dinner on the evening of Friday, April 4?

Yes No

Are you planning to attend the Closing Brunch on the afternoon of Sunday, April 6?

Yes No

Please list any special dietary restrictions:


Housing Needed:

Day 1 Day 2Both N/A

If needed, would you be willing to stay with a student host?

Yes No N/A


Comments and/or Special Needs or Accommodations:

(Press only once. You will be taken to a confirmation page)

The Unity Conference
C/o GLBT-SA
Box 39 Carolina Union, CB#5210
Chapel Hill, NC 27514