Are you registering as an individual or as a group?

Group/Collective:

Name(s) and Email(s):

Phone:

Address:

Other groups you're a part of (Collectives, organizations, co-ops, reading groups, etc)

Are you traveling with children? How many? What ages? Info we should know about them ahead of time? Can the youth-accessibility coordinator contact you to get suggestions for child care?

Do you need housing? Tent space (keeping in mind it's cold in Cleveland at the end of October)?

Do you bikes for critical mass or for transportation while in Cleveland? Bikes might be available for free, or for a really small rental fee from the Ohio City Bike Co-op.

Accessibility issues: Do you need a bed or is floor-space OK? Other needs? (Wheelchair accessible housing is available). Preferences of who to be housed with? Anything else?

Do you have any special food/dietary needs?

Are scent-free or animal-free workshop and housing spaces to avoid allergy issues important to you?

Will you need Spanish-English interpretation? (We will try to accomodate requests for Spanish interpretation)

Will you want to set up a literature table? For what group?

Will you have a vehicle while in Cleveland? Are you willing to volunteer your vehicle for transportation purposes? Please describe your vehicle.

Ways you can and want to help out: Childcare? Cooking? Cleaning? Driving your vehicle? Spanish or other interpretation? Extra car seats for carpooling? Bikes?

At NEMA/Cleveland, we hope to focus on anarchist community organizing and race issues in anarchist groups. Are there any discussions you feel should be included in these topics, anything you'd particularly like to discuss, or any other programming advice?

There will be space for outdoor guerilla warfare on Sunday. Any special needs?

Comments? Questions? Concerns? Suggestions?