Wufoo

2011 Anti-Death Penalty Alternative Spring Break

There is no participation fee for the Anti-Death Penalty Alternative Spring Break except for those people who need housing. If you do not need housing, because you live in Austin or you are making your own housing arrangements, then your participation is free, but please register so we know how many people are coming. Participants are expected to travel to Austin at their own expense and pay for their meals and incidental expenses while in Austin.

Housing spaces are limited, so please register soon. The Anti-Death Penalty Alternative Spring Break events are open to the public of all ages, but the housing for $25 for the whole week is reserved for young people.

Participants who register for housing need to bring towels, sheets, pillows and other personal items.

Please register and if you need housing, you can pay by credit card or send a check for $25 to:

Hooman Hedayati
Witness to Innocence
5125 English Glade Dr
Austin, Texas

Please bring the parental consent form signed with you to Austin if you are under the age of 18. Otherwise we have to send you back home!

Name First Last
Phone Number ### - ### - ####
Email
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
How did you hear about the Alternative Spring Break?
Do you need housing?
Will you be over the age of 18 by March 14, 2011? If you will not be 18, then you must bring the parental permission slip to participate.
What is the name of your school or college?
Comments or Questions?
Do Not Fill This Out