Conference Registration

Fields marked with ** are required

First Name**
Last Name**
Street Address
City
State
Zip
Telephone** (ex. (352)392-1234 )
E-mail**
Age
Ethnicity
Are you a student?	Yes No
If YES,
What school/college
Classification and college (ex. 4EG, 3JM)
Major
If NO
What do you do?

By submitting your registration you are agreeing to attend the Vox Activist Training Conference at the University of Florida in Gainesville on February 23rd, 2008.