FAN Registration

ISJL Fellow Alumni Network Gathering
2017 Dates: August 11-13, Jackson, MS

We are excited to announce the second gathering of our our Fellow Alumni Network (FAN)!
Please register using the form below. If you have any trouble, email Nonnie and we'll get it fixed ASAP.

Register to Attend!

* Indicates required field

Name *

First

Last

Address *

Address Line 2 *

City *

State *

Zip *

Phone Number *

Cell Phone Number *

Work Phone Number *

Email *

Current Job Title *

Current Employer / School *

Could this reunion count as professional development for you? *

Will your spouse/significant other attend with you? *

Yes No

Will you need child care? *

Yes No

Lodging options for the reunion *

Double room (no cost) Single room (additional cost TBD)

Please share your travel information (flight number, arrival/departure information, or indicate if driving) *

Additional information *

Roommate request (for hotel rooms!) *

Dietary restrictions, if any *

Submit