Your Registration Info
An email account that you check often.
Use your mobile number, if you have one.
Are you currently a member of a campus pro-life club or another organization? If not applicable, please indicate so by inputting "Not Applicable".
Symposium Details

Please reply briefly to all of the following questions.

Provide the name of your school here if it is not listed above.
e.g. the name of your club.
Your position/role within the club.
Please note that if your date of birth is after August 15, 2000, a parent or guardian is required to complete a waiver form, which can be found at -------------------------------------------------
Why are you pro-life? Would you say that there are any exceptions to your opposition to abortion? And if so, what would those be?
What experience have you had (if any) with pro-life activities in general, as well as specifically on campus? Have you had prior pro-life training? If so, what did that consist of?
Why/how did you get involved with your club on campus? If you are not yet involved with a club on campus, please tell us why you are planning to start a club or get involved with a club?
What type of pro-life work are you the most passionate about? (You can choose more than one.)
With respect to being actively pro-life on campus, what do you enjoy/look forward to the most? What concerns/scares you the most?
Briefly, why do you want to attend the NCLN Symposium? What do you hope to get out of it?
Are there any specific pro-life questions you would like addressed at the Symposium, which would help you as a leader on your campus?
Check all that apply.
How will you be getting to the Symposium?
Please include any or all of the applicable information: dietary needs; pre-exisiting health conditions; roommate requests (please note that rooms are single-gender and up to a quadruple occupancy); if you are attending as a chaperone for another registrant and the name of the registrant.
Emergency Contact for this Event