EAC Fall Gathering Registration

Registrant Contact Information

Name(Required)

First Last

Organization, Environmental Advisory Council, or Municipal Affiliation(Required)

If you are not representing an organization, EAC, or municipality: please list the municipality in which you reside, plus 'resident'.

Title

If you are not representing an organization, EAC, or municipality, please leave blank.

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State ZIP Code

Is this an organization or home address?(Required)

Home

Organization

Facilitating Connections

WeConservePA seeks to assist EAC members in making helpful connections through attendance at the Fall Gathering. Please complete this section if you would like to be connected with with other attendees on a specific topic. Completing this section constitutes an approval for WeConservePA to facilitate connections directly or via email on the topics indicated.

Please connect me(Required)

Yes

I can PROVIDE assistance on the following topic(s):

I NEED assistance with the following topic(s):

Dietary Restrictions

Dietery Restrictions(Required)

Please check the box next to ALL options that apply.

Vegetarian

Vegan

Gluten Free

None

Food Allergies

Please list ALL food allergies we need to be aware of. If you have no food allergies, please leave blank.

Registration Options

Please indicate which activities you plan to attend. You may leave any section that you do not plan to attend blank. This information is being collected for planning purposes only, and registrants will be able to attend whichever activities they would like of those offered on the day of the event.

Plenary | 9:30AM - 10:45AM

EAC Sharing (Lightning Sessions)

Roundtable Discussions | 11AM - Noon

Roundtable Discussions

Breakout 1 | 1PM - 2PM

One selection per breakout.

Local Action to Improve Water Quality

Energy Transition and Sustainability Planning: Why and How?

Breakout 2 | 2:30PM - 3:30PM

One selection per breakout.

Towards Zero Waste Communities: Single Use Plastics Ordinances

Energy Transition and Sustainability Planning: Tools for Municipalities and EACs

Payment Options

Hidden

Date

Are you an event speaker or committee member?(Required)

Yes

Discount Code

Please enter your speaker or committee discount code here. Reach out to cg[email protected] if you did not receive a discount code.

EAC Fall Gathering Registration Fee(Required)

Price:

Total

Payment Method(Required)

If paying by check, make payable to 'WeConservePA' and mail to: 610 N 3rd St, Harrisburg, PA 17101.

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

EAC