CONcrete Jungle Registration
For more info about the con, check out
our website
and
the YAOC Instagram
!
Name (This does not have to be your legal name!)
*
First Name
Last Name
Pronouns
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Would you like to be added to the YAOC email list?
Yes
No
Already on it!
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Congregational Affiliation
If none, please leave blank
Is this your first UU Young Adult con?
*
Yes
No
Are you a trained chaplain and willing to serve as a chaplain at the con?
Yes
No
Are you willing to be a touch group leader?
Yes
No
Would you like help with transportation?
*
I will arrange my own transportation.
I will arrange my own transportation. Feel free to contact me about carpooling or taking the train/bus with others!
I'd like help coordinating my transportation.
Other
Do you have an extra air mattress, sleeping pad, sleeping bag, etc. that you could bring for someone else to use?
If yes, please describe. If no, please leave blank.
Would you like to borrow an air mattress, sleeping pad, sleeping bag, etc. for the weekend? We can't guarantee it but we'll do our best to find something for you.
If yes, please describe your needs. If no, please leave blank.
Do you have any food allergies or dietary restrictions?
If none, please leave blank.
Accessibility Needs
Anything you'd like us to know to better accommodate you! If none, please leave blank.
Free space! Anything else you want to us to know?
Payment
Payment will be collected upon arrival at the con. Please pay with cash, card, or a check made out to "Fourth Universalist Society". Please pay the standard amount or the supporter amount if you are able, but a need-based rate is available for those who are unable to pay the standard fee.
*
Supporter: I plan on paying $45
Standard: I plan on paying $30
Need-based: I plan on paying $15
Photo Release
Event volunteers and leadership may take photos and videos throughout the con. Any attendee may opt out of having photos/videos taken of them and uploaded to YAOC's social media pages.
*
Yes, YAOC may feature me in photos and videos and upload these photos/videos to social media.
No, YAOC may not feature me in photos and videos and upload these photos/videos to social media.
COVID-19 Safety Policy
Upload Proof of Vaccination (You will also be asked to present the physical card upon arrival).
*
YAOC Community Standards
Signature
*
Submit
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