You have completed registration for the Franciscan Justice Leadership Conference IN-PERSON Attendance
We just need a few more pieces of information to make sure you have the best experience possible. 
Please complete the following form, thank you!

Note: While most conference participants will be lodging at the Washington Retreat House, some will need to sleep at nearby locations. The retreat house and the Stuart Center have single rooms and shared bathrooms. Trinity U. has double rooms with a private bathroom. We will do our best to accommodate your housing request and thank you for your understanding.
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First Name *
Last Name *
E-mail *
Phone *
Zip Code where you're registered to vote *
FJC/Institution/Group/Church/College/University you are associated with:
 *
If you are in college, what is your class year?
What is your T-Shirt size? *
How familiar are you with Sts. Francis and Clare of Assisi and Franciscan values?
 *
Which religion or spirituality do you most identify with? (only for organizers to be aware and aid in planning)
 *
How did you hear about the Franciscan Justice Leadership Conference? 
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What interests you most about this conference?  *
What if any, accessibility services will you need to be provided? If you would rather not disclose, please skip, or contact Nora Pfeiffer at npfeiffer@franciscanaction.org to arrange accommodations.
This registration includes 3 nights lodging and meals at a retreat center. If you do *NOT* require lodging accommodations, please indicate that here:
Due to limited number of beds at the venue, 1/4 of the conference registrants will need to sleep at the Stuart Center, 1 mile away, where they will also have individual rooms and shared bathrooms OR Trinity U., 0.8 miles away, with double rooms that have their own bathroom. We are very grateful for your understanding!
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Emergency Contact Name, Phone, Email:
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Do you have any allergies or dietary restrictions for meals? Please list all.
Do you have any health conditions or medication needs of which organizers should be aware? Please list all.
*
MOBILITY: Check the box below if you have mobility restrictions that would impact your ability to walk around Capitol Hill when we visit congressional offices.
Any other questions or comments for conference organizers?
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