Power Shift Network 2020 Annual Meeting Registration

Power Shift Network Staff and our Annual Meeting Planning Team are so excited to invite you to our 2020 Annual Meeting which will take place 45 minutes from the Minneapolis/St. Paul airport in Hudson, Wisconsin. We are asking that everyone who plans to join us registers and stays with us at the camp ground in a shared cabin to build in more time for networking and connecting!

We have room for 2 member org representatives for each organization this year!

If you are looking for travel support, please fill out this page and register ($30) and pay for housing/lodging if you are able. If you are not able to pay the $30 registration fee, email dany@powershift.org and we will make sure you are able to get registered.

We have some funds available for travel support. Please indicate while registering if you are in need of a scholarship to be able to attend. The deadline for registration if you need travel support is DECEMBER 15th, 2019. We will prioritize folks coming from frontlines and POC led organizations in our allocation of travel support.

The deadline for registration for people not seeking travel support is January 26th, 2019.

We are asking that all member organizations complete our pre-annual meeting survey immediately after registering. Click here for that survey.

Date & Times
6pmCT February 6, 2020 to 3pmCT Februrary 9, 2020

Venue & Address
Camp St. Croix, 532 County Rd F, Hudson, WI 54016
(40 minutes from MSP Airport)

Questions?
email hope at hope@powershift.org!

Name

First Name Last Name

Email

example@example.com

Which Member Organization are you Representing?

Org Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number

Area Code Phone Number

Gender I

Gender II

Pronouns for Nametag

Race/Ethnicity

Asian/Pacific Islander Black/AfroLatinx/Subsaharan African Descendant Southwest Asian/North African Indigenous/American Indian/Native American Latinx White Mixed-Race/Bi or Multi-racial

Student Status

Is anyone else from your org coming to the annual meeting?

If yes, who?

First & Last Name

Is there anything we should know in order to ensure that you are able to fully participate and engage in the meeting?

We're asking people to complete a survey from each organization -- will you or a colleague be filling out a the form?

Dietary Restrictions (don't select any if none apply!)

Are you requesting travel support?

Please register now. If you're unable to pay the registration and lowest housing cost (or are planning to stay elsewhere) please email dany@powershift.org.

All prices for housing include meals as well as linens for beds in shared cabins.

Housing Preference

Mixed Gender Men Only Women Only GNC & Queer Only Whatever works!

For housing purposes I identify as....

A woman A man Gender Nonconforming Queer

Help us coordinate carpools!

I live nearby and have a car and would be willing to drive people! I would like a ride from the airport/twin cities

Registration and Housing -- Do not register if you are unable to pay for housing -- email dany@powershift.org to discuss additional travel support requests

Annual Meeting Registration $ 30.00

Quantity

ADD - Housing (Solidarity Pricing) - Thursday, Friday & Saturday Nights $ 450.00

Quantity

ADD - Housing (True Cost Pricing) - Thursday, Friday & Saturday Nights $ 250.00

Quantity

ADD - Housing (Subsidized) - Thursday, Friday & Saturday Nights $ 125.00

Quantity

ADD - Housing (Limited Means Pricing) - Thursday, Friday & Saturday Nights $ 75.00

Quantity

ADD - Housing - Just Sunday Night (includes meals) $ 40.00

Quantity

Enter coupon

Total $ 0.00

Payment (Required -- or email dany@powershift.org)
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

2020 Annual Meeting Registration Form