NEJ Faithful Resistance Hospitality Form

NEJ Faithful Resistance Hospitality Form
Greetings, and thank you for participating in the Faithful Resistance Actions on February 25 as an NEJ representative

To help us provide the best hospitality and coordination, please complete this form.

You will also need to complete the event registration form here: Faithful Resistance Registration
Participant Information
Name*

First NameLast Name
Email*
example@example.com
Mobile Phone Number*
For day-of updates
Do you agree to receive day-of event updates via text from event organizers? Message frequency may vary. Msg & data rates may apply.*

YesNo
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information

(for the day of the event)
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Conference & Travel Details
Select your Annual Conference: *
Estimated Date and Time of Arrival in D.C.*

MonthDayYear
Date
Hour MinutesAM/PM Option
Estimated Date and Time of Departure from D.C.*

MonthDayYear
Date
Hour MinutesAM/PM Option
Mode of Transportation (select all that apply):*

AirCharter BusCarpoolTrainOther
Accessibility & Care Needs
Accessibility Needs (select all that apply):

MobilityInterpretationHearingVisionSensoryOther
Please specify language for interpretation: *
Dietary Restrictions or Allergies:
Leave blank if this is not applicable
Participation Planning
Do you plan to participate in Congressional visits?*

YesNoUnsure
Would you like to gather with other United Methodists for a time of reflection over lunch?*

YesNoUnsure
Additional Information
Is there anything else the organizing team should know to support your participation?
If you have not yet registered for the national event, please do so here: Faithful Resistance Event Registration
Should be Empty:

NEJ Faithful Resistance Hospitality Form

Participant Information

Emergency Contact Information

Conference & Travel Details

Accessibility & Care Needs

Participation Planning

Additional Information