SanDiego350 Event Registration Eco-Club Coalition Leaders in Action Workshop (VIRTUAL) August 28, 2021 -- 2:30-5 pm Learn. Organize. Act. Build A Movement to Demand Climate Action and Climate Justice. *** ADD DESCRIPTION HERE *** Current Start Payment Complete Participant Info status Parent or Guardian Info Donation / Participant Fee Enter other… $35: To cover one participant’s expenses $70: To cover your costs plus generously contribute to another’s $17.50: Partial fee Other amount... The cost to participate in the camp is $55. We use a sliding-scale registration fee based on the principle that a family’s financial commitment should be in equitable proportion to its financial resources. If the $55 fee is a burden to your family, please select the $35 partial fee or fill in another amount your family can afford. If you can afford to, please consider increasing your payment to enable other youth to attend. Price $ First Name Last Name Cell Phone Email I, the above-named Parent/Guardian, grant permission for the above-named child to attend the ECCLAW Workshop. I, the above-named Parent/Guardian, agree to the expectations for online Youth4Climate Youth4Climate events. (Required if the participant will be a minor at the time of the ECCLAW Workshop) First Name Last Name Cell Phone Phone Type - None -PhoneMobileFaxPagerVoicemailNon-TextablePreferred Required so that phone type can be set in sd350_webform_submission_presave based on Text Me field. Email Street Address City State Zip Code Do you want us to text you with occasional updates? What is your current grade? - Select -Not a student6 or under789101112UndergraduateGrad studentPost Doctorate If between school years, enter the grade you’ve just completed. Occupation Student Teacher Parent Employed Business owner Retired Other School name If applicable, at which school will you be enrolled / teach in the 2021-2022 school year? Please spell out entire school name (i.e. no acronyms) Are you involved with an eco-club at your school as a student or teacher? Pronouns - None -She/herHe/himThey/themOther Please list your preferred pronouns, if you would like to share. How did you hear about the ECCLAW Workshop? Enter other… Friend Parent Email Social media Teacher/School Other… Are you attending this workshop along with other members/prospective members of your school’s eco-club? (Recommended if possible) I, the above-named participant, agree to the expectations for online Youth4Climate events. Will you be a minor at the time of the ECCLAW Workshop?