Our Time, Our Power Registration Form

At this critical juncture in American history, we know we need people-powered governance to survive and thrive. We are excited to invite you to Our Time, Our Power—happening September 26-27 at the HUUB in Orange, NJ—where we’re convening to share lessons and practices for building democracy rooted in community-led decision making. Participatory democracy practitioners, researchers, and organizers will come together to share knowledge, build community, and chart a path forward, together.

Space is limited, so register ASAP! The deadline for registration is Monday, September 15.

Please note: the deadline for applying for travel assistance has passed. If you need help covering the cost of travel in order to attend, please email petula@participatorybudgeting.org, and we will let you know if there are resources available.

If you have any questions, please reach out to petula@participatorybudgeting.org.

Funding for this convening has been generously provided by the Robert Wood Johnson Foundation.

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Organization/ Affiliations*

Please note: Due to limited space, we ask that organizations limit their number of representatives at the event to 2 - 3.

Which days of the event do you plan to attend?*

Friday, Sept. 26Saturday, Sept. 27

How did you hear about this event?

Are you interested in volunteering at the event?

YesNo

Are you interested in learning more about becoming an event sponsor?

YesNo

Do you need or prefer language interpretation or translation?

If so, please include the language.

Do you have physical accessibility needs?

Examples include (but don't need to be limited to): ADA parking, ramps, accessible restrooms.

Do you have other accessibility needs?

Examples include (but don't need to be limited to): large text, sound amplification, scent-free environments.

Do you have any dietary restrictions?

Do you have any allergies we should be aware of?

Please list food(s) or other allergens and severity level of allergy.

Do you need help finding hotel accommodations?

YesNoNot sure

Do you need childcare in order to attend the event?

YesNo

Do you need funding to help cover the cost of transportation and/or hotel accommodations?*

YesNo

Do you meet one or more of these selection criteria?*

Yes - I meet one or more of these criteriaNo - but I would be interested in receiving funding to cover the cost of my travel if leftover funds are available

What funding support would you like to request?*

Hotel accommodations (Thursday and Friday night)National travel (for people traveling in from outside of the region) - up to $500Local travel (for people traveling within the region) - up to $125

If we are not able to provide you with travel funding, will you still be able to attend the event?*

YesNoNot sure

Name*

First NameLast Name

Relationship*

Phone Number*

Please enter a valid phone number.

My Products*

Ticket - Redistribution rateFull cost + donation to cover travel costs for other participants

$450.00

Ticket - Full cost

$300.00

Ticket - Reduced Rate

$150.00

Ticket - New Jersey-based organizersFor people who work at or a part of New Jersey-based community organizations and groups.

$ Free

Ticket - FreeOur hope is to reserve the majority of free tickets for people who meet the Travel Fund criteria listed above.

$ Free

Total

$0.00

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.

Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info

Our Time, Our Power Registration

Your information

Supporting your participation

Emergency Contact

Tickets & Payment