2024 Accessible Transportation Summit Zip_or_other0 If you need help completing this application, please call Gail at (715) 558-4544 or Sarah at (608) 547-9548. You can also email gail@reamp.org. On June 25 & 26, the RE-AMP Network is hosting a gathering for Midwesterns working to make transportation accessible for all and sustainable for the planet. Join us at the Hilton Garden Inn --University Area in Minneapolis. This page contains important information such as agenda and registration cost, please do read it before you sign up. Space is limited. Register by May 24. In order to foster meaningful conversations, we are capping attendance at 40 people. We will be prioritizing registrations from people who can attend the full Summit. The Summit starts at 9:00 on June 25 and runs through 3:00 on June 26. You can find the full agenda here (note that the agenda is subject to change, but the start and finish times will not change). Cost Registration is on a sliding scale from $50 - $850. It includes breakfast and lunch both days, and dinner on June 25. When you register, you will see guidelines to help you determine what is right for your organization. Please reach out to gail@reamp.org with questions. If you require travel assistance in order to attend, please carefully review our travel assistance policy. When you register, there will be a place to indicate your request for assistance. How many people are you registering? * 1 2 3 Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue". Registration Information First Name * Last Name * What are your pronouns? Email Address * Phone * State * - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please type the first few letters for autocomplete to find your organization you are attending on behalf of. Organization * Can you attend both days? See description above . * Yes No Which breakouts are you most likely to attend (choose two)? Re-connecting communities Paratransit Anti-displacement Over-policing Transit funding Who should we contact in case of an emergency? What is the phone number for your emergency contact? Do NOT book your own room. We will book for you. Rooms are $156 per night. Travel assistance is available. Which nights will you need lodging? Monday, June 24 Tuesday, June 25 No Lodging Needed Do you have any life-threatening food allergies? If so, please describe. Do you strictly adhere to any of the following diets? Vegetarian Vegan Gluten Free Kosher Halal Dairy Free Do you have any other diets that you strictly adhere to? Our meeting will include moving from one room to another; riding a wheelchair-accessible bus for a field trip; walking or using wheelchairs on sidewalks; presentations; and conversation. Do you require any ADA or other accessibility accommodations? Do you need childcare? Please describe. Will you need a room made available for lactation? Yes No Will you need a room made available for prayer? Yes No We like to take photos at our events and sometimes those photos get used on our website. Are you okay with being in photos? * Yes Please contact me to discuss We are pleased to say that travel assistance of up to $350 is available for those who need it. For very small community-based organizations with annual budgets of less than $50,000 per year, we are able to offer travel assistance of up to $1000. Reach out to Gail at gail@reamp.org or (715) 558-4544 if you are not sure which category you fall into Travel Assistance (see policy above) - select Travel Assistance (see policy above) - I have read the travel assistance policy and I would like to request travel assistance of up to $350 I have read the travel assistance policy and I am from an organization with a budget of less than $50,000 per year and would like to request up to $1000 in travel assistance. No travel assistance needed, thanks! Event Fee(s) Do not book your own room. We will make the reservation for you. Hotel June 24 - $ 156.00 (includes Sales Tax of $ 0.00) June 25 - $ 156.00 (includes Sales Tax of $ 0.00) I have applied for travel assistance to cover hotel cost - $ 0.00 (includes Sales Tax of $ 0.00) No Hotel Needed - $ 0.00 (includes Sales Tax of $ 0.00) The options below are meant as recommendations based on your organization's ability to pay. Registration Planning Committee Member - $ 0.00 (includes Sales Tax of $ 0.00) Very small organization - $ 50.00 (includes Sales Tax of $ 0.00) Organizations with a budget of less than $100,000 - $ 100.00 (includes Sales Tax of $ 0.00) Organizations with a budget between $100,000 and $300,000 - $ 175.00 (includes Sales Tax of $ 0.00) Organizations with a budget between $300,000 and $800,000 - $ 250.00 (includes Sales Tax of $ 0.00) Organizations with a budget between $800,000 and $1,000,000 - $ 500.00 (includes Sales Tax of $ 0.00) Organizations with a budget between $1,000,000 and $1,250,000 - $ 700.00 (includes Sales Tax of $ 0.00) Organizations with a budget above $1,250,000 - $ 850.00 (includes Sales Tax of $ 0.00) - none - Total for this participant Review