OVERVIEW

 
 
The NC Climate Justice Summit (NCCJS) is a statewide gathering of youth and adult community leaders working together to create socially just solutions for the climate crisis.
 

 
 

DESCRIPTION

By completing the registration form below, you are confirming your participation in the fourth annual North Carolina Climate Justice Summit (NCCJS).  Your registration is not complete until your fee is processed.  Up to THREE PEOPLE can register using this form, but only one payment is accepted per registration;  if each individual needs to pay separately, then each individual will need to complete their own registration form.  For groups of 4 or more,  please click the following links to use the Group Registration Form.  Adults with children staying in a lodge room with their parent/adult guardian must use the Family Registration Form.

 

LODGING & MEALS

On-site lodging is available for NCCJS participants. Adults and families stay in hotel-style rooms that have one double and one single bed in each room. You will need to choose a single, double or triple occupancy room; pricing is based per person. Your lodging fee includes 2 nights lodging as well as All meals (6 in total).  

 

REGISTRATION FEE

The Adult registration fee of $100 and the Full-Time College Student fee of $50 includes all NCCJS programming and materials. This fee is required for ALL attendees, including those who stay offsite. 


 
THANK YOU!!  We look forward to seeing you in November!
 
NCCJS Leadership Team
 


November 17, 2017 4:00pm - November 19, 2017 3:00pm
November 3, 2017 11:00pm [Eastern Time]
Haw River State Park
339 Conference Center Drive
Brown Summit, NC 27214
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Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.
 


Please click the button below to finalize your registration.



Registration inquiries:
Leadership Team
info@ncclimatejustice.org
PO Box 15422
Durham, NC
27704 USA
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Please complete the following information for each ADULT registrant. PLEASE NOTE - If you are registering an additional person (s) as well, after completing the data for yourself, complete the same information for the other person(s) by clicking on "add another registrant".  Once completed, only ONE payment is accepted for the entire registration.  * = required field

Are you affiliated with an organization or group?
Participant
Intern
Leadership Team Member
Sponsor
Workshop Presenter
Impacted/frontline community member

The following three questions will help us ensure that the Summit includes a diverse mix of participants:



The Following questions will assist us with event preparation:
FOOD - Meals are included in your registration fees.  Please indicate your dietary restrictions.  Include any food allergies in the field provided below.  We will do our very best to meet all dietary needs/restrictions. Multiple boxes may be checked for this question. 
 

No Restrictions
Vegetarian
Vegan
Gluten Free
Dairy Free
No Peanuts
LODGING - Do you have a preferred roommate (s) ?
LODGING - Preferred gender of your roommate (s)
RESILIENCE HUBS - I would like to learn more about how my group/organization can become an anchor for ongoing work on climate justice issues in my local area.
Volunteering at the Summit
 
Everyone is an active participant in making the Summit a success! We expect each person who attends to sign up for at least one volunteer shift during the weekend.  You will be able to choose your role when you arrive at the Summit.

I agree to volunteer
DONATIONS - Would you like to make a donation to support the NCCJS Scholarship Fund?  If so, please enter amount in whole dollars and the total donation will be added to your registration total for payment.  
 

 POLICIES/PROCEDURES
 
Arrival/Registration:
Please plan on arriving between 4PM and 5PM to register and get settled into your room.  The event officially starts at 6PM and we would like everyone to participate in the opening ceremony. No registrations/check ins will be allowed after 6PM on Friday during the opening ceremonies.  The registration desk will re-open at 9PM and will continue to register attendees until 10PM.  If you cannot arrive by 10PM , a phone contact number will be provided in the welcome letter which will be emailed close to the Summit start date.

Dress Code:
Casual - Make sure to pack warm clothing

Payments:
We will accept credit cards, checks or money orders for your Summit fees.  All checks or money order payments must be received by OCTOBER 31ST to confirm your registrations and any unpaid registrations will be cancelled.  All money orders should be made payable to NCCJS and mailed to NCCJS, PO Box 15422, Durham, NC  27704.

Cancellation Policy:
If you need to cancel your registration, please email the leadership team at info@ncclimatejustice.org and a refund will be processed within 15 days from the cancellation date.  An administrative fee of $20 will be deducted from the refund amount.


I agree to abide by these policies/procedures