Diverstiy Summit

2010 Passhe Diversity Summit-Registration

First Name:   Last Name:  
Title/Position:   Student:
University:   Employee:  
Email:   Phone:  
Name Tag as it should read:  

ACCOMMODATIONS Please indicate your preference:  

SHUTTLE SERVICE:

Shuttle service is available from Lehigh Valley Airport to Bear Creek Mountain Resort & Conference Center. Shuttle service can be arranged to Kutztown University. Shuttle service will leave Kutztown University at 5pm on Thursday, September 23 for Bear Creek for dinner and accommodations. The Shuttle departs at 8am from Bear Creek to Kutztown University on Friday, September 24. Space is limited.

Please indicate your preference:  

MEALS Please indicate the meals that you will attend:

SPECIAL ACCOMMODATIONS:

REGISTRATION FEE:

In addition to completing this form, registration fees are to be mailed to Kutztown University (PO Box 730 / Kutztown, PA 19530 / Attn: Jeann Cengeri, Multicultural Center)




For questions on registration and/or lodging please call 610-683-4807 or email diversitysummit@kutztown.edu with “diversity summit” in subject line.