Queer & Asian Conference 2011 Registration Form
4th Annual Queer & Asian Conference hosted by Cal Q&A
April 29th - May 1st
UC Berkeley

Welcome to the Queer & Asian Conference 2011 Registration Form! Please fill this form out completely to register for the 4th Annual QACON!

Founded in 2008, the annual student-run Queer & Asian conference is the largest and only one of its kind nationwide, growing exponentially every year. With a focus on creating a safe, intimate space for the sharing of stories in addition to a focus on creating a space for education, action, networking and coalition building, the conference aims to be one that entertains, empowers and inspires. Come join us for three days of amazing performances, workshops, discussions, storytimes, keynote speakers, and more.

This year's theme - Forefront - is our attempt to take a step forward - looking at the issues at the forefront of our community - looking at how we can make queer and Asian a part of OUR forefront.

http://www.calqacon.com
The conference is FREE and open to ALL to attend!



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Name *
First and Last
Email *
Phone Number
Where are you from? *
City, State
School or Affiliation
How did you hear about QACon11? *
Which days are you planning to be here? *
Please check all that apply.
Required
Do you have any dietary restrictions? *
Please check all that apply.
Required
Please list any food allergies you may have. *
If none, please write "none."
Will you be needing any accommodations? *
(i.e. sign language interpreter, wheelchair accessibility, etc.)
If yes, what accommodations do you need?
Are you in need of free, volunteer housing? *
Please check all that apply. Based on a first-come, first-serve basis.
Required
Please include my name and e-mail in the Conference Directory (included in the conference programs). *
If you knew me better you would know that...
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