UMOJA MN Registration

UMOJA MN

A Black Heritage Experience

Register me for the following event(s): *

August 16-18, 2019: Duluth Entertainment Convention Center in Duluth, Minnesota. Together we will explore various music genres and the artists that help create and influence the music we listen to today. We will feature local musicians, teachers and music schools. Campers will create and perform musical pieces they learn during the weekend. Lodging is available.

The following best describes my family (check all that apply): *

Adopted through the MN Foster Care/MN Waiting System. Current MN Foster Parent/or are placed with a pre-adoptive child through the MN Foster Care System. Kinship parent through the MN Foster Care System. Adopted internationally. Adopted through a domestic infant process.

How did you hear about UMOJA MN? *

E-mail *

Phone Number *

Area Code Phone Number

Home Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Adult Information *

	First	Last	Date of Birth	Relationship to child(ren): i.e. Parent, grandparent, aunt	Race	Allergies or food restrictions
1
2
3
4

Camper (Youth & Child) Information

	First	Last	Date of Birth	MN County involved in placement *if MN foster care/adoption	Country of birth	Race	Allergies or food restrictions
1
2
3
4
5

T-shirt Sizing - 1 shirt per attendee. *

	Adult 3XL	Adult 2XL	Adult XL	Adult L	Adult M	Adult S	Youth XL	Youth L	Youth M	Youth S	Youth XS
#

We would like to stay overnight *

If you receive a scholarship - lodging fee will be covered.

What else should we know?

Needs of kids, additional restrictions, questions, room requirements, etc.

It would be nice to put faces to names, upload a family photo if you wish.

Browse Files

UMOJA MN PHOTO RELEASE *

Yes, you can use my or my camper(s) photos. Please do not use my or my camper(s) photos.