UULMCA

UULM-CA

Issues Survey

Action Network

ROAD TRIP REGISTRATION FORM

Climate Change & California Water:
A Young Adult Road Trip for Justice

Registration Process:

To register for Climate Change & California Water: A Young Adult Road Trip for Justice, please complete the registration form below and submit it to UULMCA, along with a $100 deposit made payable to UULM-CA. Click here for a printable version and mail to the UULM office, along with your deposit check. After we receive your registration form and deposit, you will receive a confirmation email and packet containing detailed trip information and release forms to be returned. Please note that your $100 deposit is non-refundable.

Full payment ($360) for Climate Change & California Water: A Young Adult Road Trip for Justice is due by July 27, 2009. We encourage you to ask your congregation for a $75 contribution toward your trip. If you raise $75 from your congregation, UULM will contribute another $25 toward your fee, so your cost will only be $260!

General Information

About UULMCA

Board of Trustees

Congregational Affiliation

Calendar of Events

Personal Data:

First Name: Last Name:

Email:

Date of Birth (mm/dd/yy):

Male Female Transgender
(This information is for housing arrangements.)

Address:

City: Zip:

Home Phone: Work Phone:

Mobile Phone:

Other Information:

How did you hear about this trip?

Do you belong to a Unitarian Universalist congregation or another faith-based group?

What are your objectives and expectations for this Road Trip?

Please list any relevant interests or skills that you have -- musical? artistic? environmental?

How would you like to share this experience with your home congregation, campus, workplace, community on your return?

Is there anything else related to your participation in the Road Trip that you think we should know?

Payment:

I will send my $100 deposit by mail.
Please make your check payable to UULM and send to: 717 K St #514, Sacramento CA 95814
Write "Water Justice Road Trip" in the memo.

I will use my credit card for the $100 deposit.
Please click here for credit card payment. Please write "Water Justice Road Trip" in the Comment section.

Cancellation Policy:

Cancellations by participants must be received in writing (email accepted) by UULMCA. A full refund (minus $100 deposit) will be provided for cancellations received 7 days or more prior to departure. No refund will be provided for cancellations received after July 29, 2009. UULMCA does not refund airfare tickets. UULMCA will provide full refunds in the unlikely case that it cancels this Road Trip.

For more information, contact our office at (916) 441-0018.