2023 MEEA Conference Registration

Sharing Hope and Inspiring Action

Time / Locations:

Fri 6pm-9pm @ Salsa Rosada in Midtown STL

Saturday 8am-5pm @ The Saint Louis Zoo in the Living World

We want everyone interested to be able to attend our conference, without cost being a barrier. So, if you need to use the Pay-What-You-Can Option for either Friday or Saturday, here's what to do:

Enter the amount you can contribute in the blank ticket price section.
Complete the section that follows ticket selection.
Finish filling out the rest of the form. That's it!

We can't wait to see you!

NOTE: You are only able to select 1 ticket per option via this form. We apologize for any inconvenience if you are tasked with registering multiple attendees!

If you selected the Pay-What-You-Can option above....

please complete this section!

I'm attending Friday night only

I'm attending Saturday only

I'm attending both Friday and Saturday

I'm a Student MEEA Member

I'm a Student Non-Member

I'm a MEEA Member

I'm not a MEEA Member

Contact Information

Name

First Name

Last Name

Organization/Work Place/School

If not affiliated with a particular organization, enter "Independent"

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Preferred Pronouns

Age

This info is for our Friday night social.

under 21

21+

Do you have any food allergies or other dietary needs?

We will be providing an all-vegetarian menu, but if you require modifications beyond that, let us know!

Do you have any medical issues we should be aware of?

This information will remain private, to be used only in the event of an emergency.

Emergency Contact (Name & Phone #)

Do you need any accommodations to ensure full participation in the conference?

If so, please let us know how we can support a positive experience for you!

Would you be interested in an affinity space being available at the conference?

If so, please let us know which community / communities that you identify with and would like space to meet with if possible.

Anything else we need to know about your registration?

For example, are you utilizing a complimentary registration for an Organizational Member or a Sponsor?

Racial Identity

Select all that apply

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Some other race, ethnicity, or origin

Prefer to self-describe

Prefer Not to Say

Are you of Hispanic, Latino/a/x, or of Spanish origin?

Yes, Mexican, Mexican American, Chicano/a/x

Yes, Puerto Rican

Yes, Cuban

Yes, Another Hispanic, Latino/a/x or Spanish origin

Some other race, ethnicity, or origin

Prefer to self-describe

Prefer Not to Say

Add 3% to my total amount to help cover the payment processing fees