Contact Info

Name:
Address:
Phone Number:
E-Mail:

Housing

I have extra (fill in how many people you can accommodate in each way)
Beds:
Couches big enough to sleep on:
Floor Space:
Yard Space for tents:

And it is (Check all that apply)
Welcoming to children
Welcoming to animals
Dog Free
Cat Free
Animal Free
Non-Smoking
Alcohol Free

Other notes about my housing:

Transportation

I have (check all that apply):
A motor vehicle which may be borrowed
A motor vehicle I am willing to drive around (for pick-ups of supplies and people)
A Bike Trailer which may be borrowed

Bike Sharing

If you have any bikes (in working order) to lend to the conference please note how many here, and how long you are willing to lend them out for:

Ways to Volunteer

I would like to help out in the following ways

Before the conference:
printing materials
picking up donations
organizing resources

During the conference:
registration table
bike sign-out
cooking meals
picking up donations and resources (food/cleaning supplies)
set-up and tear-down for events
door at events
If you would like to help with child care during the conference please note here how you would like to help:

Workshops
I would like to host a workshop on the subject of:

A brief description of the workshop and my experience:

After the conference:
clean up
returning donations and loaner-bikesa/etc.

Donations

I have the following stuff/services that I would like to donate to the conference:

Anything else

Comments/stuff I want to help with that this form doesn't cover/Anything at all can go in this space:

Please enter the characters in black: