PS23 Registration

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PS23 Registration

“Power Shift 2023 will be a massive national youth convergence taking place April 6-8, 2023 in Bvlbancha (colonially known as New Orleans) that will bring together thousands of young people to skill-up to mitigate pending climate catastrophe through three days of trainings, workshops, panels, and actions. Most importantly, creative survival strategy and how to grow interconnectedness among their own communities as a strategy based on care, solidarity, and anti-capitalism.

There will be speakers, workshops, a direct action, healing spaces, and more.”

If you would like to attend PS23 with Kentucky Student Environmental Coalition, please fill out this form so that we may purchase your ticket (DO NOT register through any of the links on the Power Shift website). We at KSEC are working to provide need-based assistance for ticket & travel cost, and cover the full cost of lodging. We will reach out to you with more information on your ticket, travel, lodging, and food ASAP.

Let’s Bloom!

Name *

Email *

Phone Number *

Shipping Address *

Emergency Contact *

Relationship to you: *

Email *

Phone Number *

State *

Please check any of the following accessibility needs that apply to you
*

I need closed captioning

I need interpretation to support my full participation in programming

I use a screen reader

I need individual audio amplification

I need large text formatted handouts

I use a wheelchair/walker/other mobility device

I have additional accessibility needs

Other:

Required

What language do you feel the most powerful in? (ex. ASL, Urdu, English)
*

Are you currently a student?
*

Yes

Other

Please choose any of the following that describe your racial /ethnic background
*

East Asian

Southeast Asian

Pacific Islander

South Asian

Central Asian

Southwest Asian/North African (e.g. "Middle Eastern")

Black: African-American/Afro-Caribbean/Afro-Latinx/African

Indigenous/First Nations/Indigene

Latinx/Latine/Caribene

White

Multiracial/Biracial/Mixed-race

Other:

Required

Please describe your gender identity in your own terms:
*

Pronouns
*

Birthday
*

Preferred t-shirt size
*

I agree to the COVID Community Agreement:

“I understand that PSN will circulate a COVID Community Agreement at a time closer to the event date, in order to account for changing conditions. The Agreement will at a minimum include masking at all times while indoors. I agree to follow the guidelines and expectations outlined in this Agreement to ensure the convergence is safe and accessible.”

I agree

I disagree

I agree to sign and submit the PS23 Participation Waiver separately after registering:

“In order to participate at PS23, you must agree to the terms and conditions in the Participation Waiver by signing and submitting it separately. You'll be emailed a link to the waiver upon completing your registration. Click the link, copy the waiver, sign it, and send it to forms@powershift.org prior to PS23.”

I agree

I disagree

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