WE ARE MEDIA! Registration Form

November 23, 2012
At OYBM Media Center & Taala Hooghan Infoshop
1700 N. 2nd St. Flagstaff, AZ

FREE for youth who pre-register/$5 day of (up to age 25)
$10 pre-registration for adults/$15 day of
Registration is required.

Click here to download and print the WE-ARE-MEDIA-registration form

or fill out the one below:

WE ARE MEDIA! Registration Form
  1. Application type
  2. (required)
  3. (valid email required)
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. (required)
  9. Gender
  10. Payment options (waived for youth who pre-register)

cforms contact form by delicious:days

A limited number of travel reimbursement & accommodation scholarships may be available for attendees. Scholarships will be awarded on a first-come first-served basis. We will not be providing accommodations for everyone.

You can print and mail your registration form with a check payable to: Outta Your Backpack Media.
You can also bring your payment and registration form to OYBM Center 1700 N. 2nd St. Flagstaff, AZ 86004. You can also pre-register and bring payment day of.

E-Mail: oybm@oybm.org

You will receive a confirmation e-mail with directions, an agenda, and other details.
Questions? Call or e-mail WE ARE MEDIA! coordinators:
oybm@oybm.org – (928) 380-2629
We look forward to seeing you in Flagstaff!