UMOJA MN Registration

UMOJA MN

A Black Heritage Experience

Register me for the following event(s): *

October 18-20, 2019, Oak Ridge Conference Center, Chaska, MN. Registration is currently full for the October UMOJA MN event. This will place you on a wait list. January 31-February 2, 2020, Earle Brown Heritage Center, Brooklyn Center, MN. Theme: African American Child Change Agents June 19-21, 2020, Duluth Entertainment Convention Center, Duluth, MN. Theme: Family Unity & Uplift, Black Film

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 4XL	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.