- BridgeUSA

Summit 2023 Registration

What Chapter Are You Involved In?(Required)

Legal Name(Required)

Last Name First Name Middle Name

If you aren't called by your legal first name, please list your preferred name

*Please also list any preferred pronouns

Date of Birth(Required)

Gender(Required)

Email(Required)

Enter Email Confirm Email

Phone(Required)

Expected Graduation Date(Required)

Will you be 18+ years old by February 10, 2023?(Required)

T-Shirt Size(Required)

Do you have any dietary restrictions or religious restrictions? *Please note: we cannot make last-minute accommodations for things not listed here (at registration).(Required)

Please list the City and State you are traveling to the summit from?(Required)

Why do you want to attend the 2023 Students Shaping Democracy Summit? Please list resources, tools, or skills you wish to gain from the Summit.(Required)

I will be able to attend the Students Shaping Democracy Summit February 10-13, 2023 and am ready to finalize my registration.(Required)

If you have not scheduled your class for the Spring 23 semester, please list the date you will schedule your classes.

I will cover the costs of my flight and hotel.

Yes

More information about purchasing your flight and Summit costs will be sent to you soon, prior to you purchasing a ticket. Please do not purchase a flight at this time.