When

Saturday, February 16, 2019 from 8:00 AM to 1:45 PM PST
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Where

Lillis Business Complex 
955 E 13th Ave
Eugene, OR 97401
 

 
Driving Directions 

Contact

Darren Reiley 
PeaceJam Northwest 
541-337-6917 
northwest@peacejam.org 
 

PeaceJam Northwest Conference 2019 Junior Registration Form 

This form is for schools/organizations that are coming for the PeaceJam Junior Northwest Conference.  In addition to the GROUP REGISTRATION FORM, we will need a paper copy of the STUDENT REGISTRATION AND RELEASE FORMS for each participant that is signed by their parent and/or guardian.  Please email or bring a physical copy of these forms for each participant.  Youth who do not have a signed form from their parent/guardian, will not be able to participate!!

Student Registration Form English

Student Registration Form Spanish

Adult Registration/Release Form

 

Registration is $25.

PeaceJam Northwest is committed to making this life-changing experience as accessible to all youth as possible.  We do have scholarship funds availabe for students in financial need.  No student will be turned away for lack of funds!  

Contact northwest@peacejam.org for more information

Last date to register: February 1, 2019