Alternatives 2021 Registration Form

International Peer Respite / Soteria Summit:

Creating Compassionate Alternatives to Systemic Interventions for People in Crisis and Distress - February 5, 2023 Intential Peer Support Training
Sign up to receive emails about the work following the Virtual Conference

The Summit will include a day of welcoming and inspiration, workshops, and a finale of community building and looking to the future—Sundays, October 3, 10, 17, 24 & 31. Follow-up day Dec. 5.

Registration is free of charge; donations are welcome.

There will not be continuing education units available, but we will provide certificates of completion, which may be accepted by your credentialing board.
Name*

First NameLast Name
Group/Organization:
State/Country:*
Email*
example@example.com
How did you find out about the Summit?
Special considerations? Closed captioning, ASL interpreting, other?
How do you identify? Please mark all that apply. (This section is completely voluntary).

Mental Health Consumer/Survivor/PeerLived experience of substance use/addictionYouth/Young adultLatinxAsian/Pacific IslanderAfrican American/BlackNative American/Alaska NativeMore than one raceLGBTQ+VeteranPerson with disability (PWD)Person who has experienced homelessnessMH ProfessionalFamily MemberOther
We would like to send you emails about upcoming events, like future Summit events.

It is fine to send me emails.Do not send emails about Rethinking Psychiatry events.Do not send emails about MindFreedom International Events.Only send emails about the summit.
Any donation amount would be greatly appreciated. If you prefer to donate a different amount, click on free registration, skip the credit card section, hit "submit," and then go to the link on the "Thank you for registering page" to donate the amount you prefer. Paypal may also be used if desired at this link: https://power2u.org/donate Do you have any comments or questions?

Registration Options*

Free Registration$ Free

Suggested Donation (optional and appreciated) - One day$25.00

Suggested Donation (optional and appreciated) - Two days$50.00

Suggested Donation (optional and appreciated) - Three days$75.00

Suggested Donation (optional and appreciated) - Four Days $85.00

Suggested Donation (optional and appreciated) - Five Days - Full pass$100.00

Generous donation (optional and appreciated)$150.00

Sponsor donation (recognition on website)$500.00

Sponsor donation (recognition on website and at summit opening)$1,000.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

In honor of:
In memory of:
Donations of any amount are welcome to help cover the cost of continuing work including creating educational videos: https://power2u.org/donate/ Donate by check or purchase order:

Email info4@power2u.org for instructions if you would like to pay by check or purchase order. Additional conference information at the webpage: www.alternatives-conference.org/peerrespitesoteriasummit.
Should be Empty:

International Peer Respite / Soteria Summit:

Donations of any amount are welcome to help cover the cost of continuing work including creating educational videos: https://power2u.org/donate/ Donate by check or purchase order: