Register

Please send your registration form to MaineYAG@gmail.com or to Resources for Organizing and Social Change (ROSC, address below)

Return form by April 15th if possible.
Registration at the door as space permits (we should have room for you).

Name:

Address:

Telephone:

Email:

Organization (if any):

We ask for a donation of $5-$10 per day, or $20 for all three days, or whatever you can pay. If you can’t pay, we still want you there and you won’t be turned away! You can send a check to ROSC (address below) or pay at the door. However, we are excited to have you regardless of whether you can pay. Please let us know what you plan to do regarding payment.

Do you have an idea for a workshop you’d like to facilitate?

Do you need a ride or can you offer a ride? Please let us know where you’re coming from and we’ll try to set you up with others from the same area.

Do you have an accessibility needs?

Do you need childcare?

Do you have any dietary restrictions?

Do you have any other needs?

Make checks payable to ROSC and send to:
Youth Activism Gathering
c/o R.O.S.C
161 Stovepipe Alley
Monroe, ME 04951




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