M&M33 Registration Form

NOMAS: The National Organization for Men Against Sexism
Registration Form- (Please read the following information)

33rd Conference on Men and Masculinity (M&M33)
University of Utah, Salt Lake City, Utah
August 21-23, 2008

Addressing Violence in Our Homes and in Our Communities

Join NOMAS at the Univ of Utah for the 20th Annual Men’s Studies Institute (Thursday 8/21/08), and 21/2 more full days of, workshops, keynotes, cultural events and general discussion (Friday and Saturday, 8/22 &8/23/08) on the issues surrounding men and masculinity in the 21st century. Nationally noted speakers and panelists will conduct sessions on topics including men’s role in domestic violence work; anti-racist, anti-sexist community organizing models, domestic violence in the LGBT community, co-option of shelter services/dilemmas/challenges in domestic violence shelters, multicultural feminist counseling models, and working with youth exposed to violence.

Your Name_____________________________________________________________
Address________________________________ City, St. Zip______________________
Home Phone____________________________ Work Phone _____________________
E-Mail__________________________ Organization/Affiliation_____________________

Emergency Contact Info (Name and Phone): __________________________________________

Full Conference ( 3 days) Registration Fees $150.00 _____

Full registration entitles you to attend all conference sessions and keynotes, receive entry to all entertainment events attend the banquet, receive all official conference documents and attend the conference opening/closing and receptions

Part Conference Registration Fees
Thursday or Friday $60.00 _____
Saturday $50.00 _____
Part registration entitles you to receive conference material.

Financial Aid Adjustment

 Check here if requesting a scholarship. Please indicate amount ______and rationale_________________

________________________________________________________________________________________

50% off registration fees may be available to youth (18-25) and seniors (over 65). Other discounts may be available based on income.

__Check here if you have special dietary or other requirements. Please indicate ___________________________

NOMAS Membership (optional): $50 (general), $15-50 (sliding scale) $______

Donation to the Financial Aid Fund
I would like to contribute to the M&M conference to
sponsor a youth or senior attendee. $______

Total (please add up all fees and donations and indicate total amount here) $______

Acknowledgement: Registrations will be acknowledged by mail/e-mail

Payment of Fees: Payment of registration fees must accompany all registration forms. Make checks payable to:
NOMAS
c/o South Valley Sanctuary
PO Box 1028
West Jordan, UT 84084

Cancellation Policy: Cancellations must be received in writing. There is a $25 fee for cancellations received before July 15, 2008. Cancellations received after August 13, 2008 will be refunded at 50% of total paid.

Disclaimer of Liability: The Conference Organizing Committee reserves the right to amend any part of the Conference program or event at its sole discretion. The Conference or the Conference Organizing Committee assumes no liability for damages of any nature.

__Check here if you DON'T want your name included on the list of M&M attendees (a list which is given out to conference attendees only)
__Check here if you have previously attended an M&M

Travel Arrangements: If you are flying, reserve tickets now to SLC! - If you need a ride or can offer a ride, e-mail at info@nomas.org

Other Details: Registration and participation is restricted to persons over the age of eighteen (18). All NOMAS events are drug, alcohol and weapon-free. Check below if you would like to
__Volunteer to help with the conference
__Submit a workshop or presentation proposal (deadline 6/15/08)

Lodging: Rooms are available for $85 per night at the University Guest House. For reservations, please call 801-587-1000 and request the NOMAS rate.

Roommate preferences. Please indicate______________________

For further information see www.NOMAS.org, www.southvalleysanctuary.com or e-mail at info@southvalleysanctuary.com.

On August 21-23,2007, please register onsite.