When

Saturday, November 3, 2018 from 9:00 AM to 4:30 PM EDT
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Where

Miami Dade College InterAmerican Campus

627 SW 27 Ave.
Miami, FL 33135

Event Address Map
Driving Directions

Contact

Conor O'Brien
PeaceJam Miami
305-237-6617
peacejammiami@gmail.com

MIAMI - 2018 SLAM Adult Registration Form

This form is for adults who are coming the to the PeaceJam Miami Slam. In addition to this online form, we will need a paper form 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.

* Required information

Personal Information

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  • Dietary Restrictions: Please note that all food is made in a facility that is NOT nut free and cross contamination is possible. We recommend bringing your lunch if you are concerned about your allergies or dietary needs. (Check all that apply

  • Fee

    Type Fee
    $20.00

School or Oranization Information

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Nametag & T-Shirt Information

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    Preferred Gender Pronoun (this will appear on your name tag)

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    T-shirt size

Experience & Commitment

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    Have you attended a PeaceJam event before?

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    I understand that due to the various logistical aspects of conference planning, REFUNDS WILL NOT BE GIVEN for registered students or advisors who do not attend. Submitting a registration form for the conference is a commitment to the participant slot.

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    I will fully participate in the PeaceJam event and will honestly interact with all participants. I will remain with the program at all times and will not leave the conference without permission of my PeaceJam teacher/adult advisor, PeaceJam staff, and my Family Group Mentors. I agree to silence my cell phone throughout the event and use it at appropriate times only.

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    I will wear comfortable and appropriate clothing and bring only items I will need, including pen, notebook, and/or camera (optional). I will NOT bring any weapons, non-prescription drugs, or alcohol.

Required Forms

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    Adult Registration Form: Copy and paste this link in your browser to download the required release form: http://www.peacejam.org/media/1638/2018-adult-registration-forms.pdf

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    I will ensure that all participants from my group have completed the online registration form, submitted their release form, and if necessary, have paid their fees.

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    I understand that due to the various logistical aspects of conference planning, REFUNDS WILL NOT BE GIVEN for registered students or advisors who do not attend. Submitting a registration form for the conference is a commitment to the participant slot.

$9,999.99

Payment

Payment Method

  • Please make check payable to:
    PeaceJam Foundation
    11200 Ralston Road
    Arvada, CO 80004

Payment Summary


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