Re-Imagining Camp Pride Retreat Confirmation Form

"Re-Imagining" Camp Pride Retreat Logistics & Confirmation Form

Today's Date*
MM slash DD slash YYYY
First Name (Name that you go by)*
Last Name (Name that you go by)*
Pronouns*
What CP Volunteer Activities have you been involved in?*
- Stop the Hate
- Advisory Board
- Camp Pride
- Advisor Bootcamp
- Board of Directors
- Campus Pride Index/College Fairs
- Voice & Action
- Research
- Intern/Fellow
- Speakers Bureau
- Campus Pride Website/Blog
- Other
If other, please describe
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Enter Email Confirm Email
Cell Phone (Best number to reach you)*
Emergency Contact Name*
Emergency Contact Phone*
Travel Logistics
Campus Pride is prepared to pay for travel; however, please let us know if you need this assistance.
Travel*
- Yes I need Campus Pride to book my airfare.
- I am driving. I will request a mileage reimbursement at 62.5 cents per mile after retreat.
- I have my travel covered and do not require any reimbursement or travel monies.
- Unsure but will email Shane prior to 9/15 to clarify.
NOTE: We ask that everyone arrive on the evening of Thursday, November 10 so we can have an early start time on Friday, November 11 at 8:30/9 a.m.
Legal Name as it appears on Driver License (for airfare usage onl, this will not be shared outside of this purpose)
Gender Marker as it appears on Driver License (for airfare usage only, this will not be shared outside of this purpose)
TSA Number/TTN (if you have one)
Airport Departing From
Date/Time of Suggested Departure (please be flexible)

NOTE: We ask that everyone arrive on the evening of Thursday, November 10 so we can have an early start time on Friday, November 11 at 8:30/9 a.m.
Airport Returning To
Date/Time of Suggested Return (please be flexible)

NOTE: We ask that everyone leave no earlier than Saturday, Nov 12 at 5 p.m. so we can go until 1:30/2:30 pm approximately on Saturday, Nov 12
Hotel Logistics
Campus Pride is prepared to pay for hotel; however, please let us know if you need this assistance.
Hotel Accommodations*
- Yes I need Campus Pride to cover hotel on Thursday, Nov 10 and Friday, Nov 11.
- I have my hotel covered (e.g. paying myself, college paying for it, staying with friend, etc) and do not require any arranged accommodations.
- Unsure but will email Shane prior to 9/15 to clarify.
NOTE: We ask that everyone arrive on the evening of Thursday, November 10 so we can have an early start time on Friday, November 11 at 8:30/9 a.m. You will need a place to stay Thursday, Nov 10 and Friday, Nov 11. Campus Pride will cover those two nights unless you have other accommodations. We will wrap up by 2:30 pm on Saturday, Nov 12.
Special Requests for Accommodations
Room Sharing - Please share any concerns so we are aware for room sharing. Anything shared is private and we will address all needs so everyone feels welcome & safe.*

NOTE: There can potentially be two people per room. Each room will have two double beds and a private restroom. This is not a residence hall room. It will be a 3 star or above hotel.
Food
Campus Pride plans on providing Breakfast, Lunch and Dinner on Friday, November 11 and Breakfast and Lunch on Saturday, November 12.
Food Diets, Eating Choices & Identities*
- No dietary specifics/restrictions.
- Macrobiotic: Popularized by the Japanese, the Macrobiotic diet isn’t just about eating certain foods, it’s also about achieving balance in your life through food choices. Macrobiotic dieters are encouraged to eat regularly, chew their food thoughtfully, listen to their bodies, be active and maintain a positive mental outlook.
- Flexitarian: This includes people who eat mostly vegetarian but occasionally eat meat which includes red meat, poultry, seafood and fish. Also referred to as a semi-vegetarian, when they do choose to meat, it’s sometimes free-range or organic animal products.
- Vegetarian: Vegetarians abstain from the consumption of all animal flesh products, like red meat, fish and poultry. This may also include the abstention of by-products of animals processed for food.
- Lacto-ovo-vegetarian diet: Eliminates meat, fish and poultry but allows eggs and dairy products.
- Lacto-vegetarian diet: Eliminates meat, fish, poultry and eggs but allows dairy products.
- Ovo-vegetarian diet: Eliminates meat, fish, poultry and dairy products but allows eggs.
- Pescatarian: This diet abstains from eating all meat and animal flesh (like red meat and poultry) with the exception of fish.
- Vegan: This diet eliminates meat, fish, poultry, eggs and dairy products, as well as other animal-derived products, such as honey. On this diet you are also restricted from rennet, gelatin, collagen and other types of animal protein; stocks or fats derived from animals.
Food Allergies (Medical Conditions related to food intake)*
Other Food Information not mentioned that is important to you.
Tell us about what Camp Pride means to you...
Campus Pride will be asking those who are past participants in Camp Pride and Advisor Academy to share through a "RE-IMAGINING CAMP PRIDE" survey that will be sent out in mid/late September. This information along with feedback from previous year participants in Camp Pride & Advisor Academy will be available during the retreat for "re-imagining" conversations/decision-making. We are also asking you, if possible, to respond to a few broad questions ahead of time.
Since 2007, what do you feel Camp Pride does for student leaders that makes it a unique educational experience?
Depending on your time of involvement, please consider this question prior to COVID-19 in how you choose to respond since the last few years have been online.
Thinking about today's LGBTQ+ students and the next five years:: What do you feel are top 3-5 areas that LGBTQ+ college students need in order to thrive on campuses and in their communities?
Depending on your time of involvement, please consider this question prior to COVID-19 in how you choose to respond since the last few years have been online.
Thinking about today and into the future: What skills, tools and resources do Advisors/Professional Staff need that work with LGBTQ+ students to support these students and create safer, more inclusive campus communities?
Depending on your time of involvement, please consider this question prior to COVID-19 in how you choose to respond since the last few years have been online.
Share about you...
Brief Bio
Please share a 250-500 word bio that Campus Pride may use in describing your professional experience and personal interests, skills and background. Thank you.
File
Max. file size: 1,016 MB.
Please upload a photo for Campus Pride usage with all rights and permissions.
Demographic Information
This section is voluntary and helps us strive to continually improve our volunteer capacity and represent a diversity of our LGBTQ and ally community. Please share if you feel comfortable doing so.
Gender Identity
Gender Expression
Sexual Orientation/Sexual Identity
Race/Ethnicity
Faith
Please share other aspects of your identity that are important to you...
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"Re-Imagining" Camp Pride Retreat Logistics & Confirmation Form

Travel Logistics

Hotel Logistics

Food

Tell us about what Camp Pride means to you...

Share about you...

Demographic Information