OU Advocacy Attorneys Conference – Registration Booking InfoAttendance Fee (Including hotel accommodations (2 nights) and all glatt kosher meals)* Individual - $1,900 Couple - $2,300 **Junior Associates - $1,500 **Junior Associates Couple - $1,800 **Government Attorneys /Nonprofits - $1,700 **Government Attorneys /Nonprofits Couples - $2,000 Non Hotel Rate (FLA residents) Individual - $1000 Personal InformationName* Mr.Mrs.MissRabbiDr.Rabbi Dr.Dr. RabbiRebbitzenRebbitzen Dr.Dr. RebbitzenSirThe HonorableChaplain Title First Last Phone*Email* Employer Special Hotel Requests:We will do our best to accommodate. Allergies/Dietary Restrictions: Spouse's InformationHow will your spouse be joining* My spouse will be joining us as a Guest My spouse will be joining us as an Attorney HiddenSpouse's Name PrefixMr.Mrs.MissRabbiDr.Rabbi Dr.Dr. RabbiRebbitzenRebbitzen Dr.Dr. RebbitzenSirThe HonorableChaplain Title First Last Spouse's Name* PrefixMr.Mrs.MissRabbiDr.Rabbi Dr.Dr. RabbiRebbitzenRebbitzen Dr.Dr. RebbitzenSirThe HonorableChaplain Prefix First Last Spouse's Phone*Spouse's Email* Spouse's Employer Special Hotel Requests:We will do our best to accommodate. Spouse's Allergies/Dietary Restrictions: For Junior Associates(Graduated Law School in 2022, 2023 or 2024)Law School* Graduation Year*Select Graduation Year202220232024For Government Attorneys / NonprofitsList Agency and Title* (for identification purposes only)Billing AddressAddress* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ORTHODOX UNION MEDIA RELEASEPlease read this media release and sign electronically below. In consideration of the right for me to participate in Orthodox Union events and other good and valuable consideration, I – on behalf of myself and my heirs and assigns – hereby agree as follows: I irrevocably authorize The Union of Orthodox Jewish Congregations of America, and its subsidiaries, affiliates, officers, directors, agents, employees, successors and assigns (together, “(“Orthodox Union”) to photograph, film, videotape, record, reproduce, portray, and otherwise use my appearance, voice, name, biographical information, image, and actual or simulated likeness (collectively, “Likeness”), and to use the results thereof, including all video and audio recordings, photographs, and film or any other media secured by, produced by or on behalf of the Orthodox Union that incorporates any of the foregoing (collectively, “Recordings”), for any purpose whatsoever, including on its social media pages, all without further obligation or compensation. The foregoing rights extend to all media, in all forms, now known and hereafter devised, throughout the universe and in perpetuity, including in connection with publicity and advertising. I shall have no rights of review or approval regarding the Recordings and the Orthodox Union shall have the right to edit or delete those Recordings in their sole discretion. I understand that all rights in and to the Recordings shall be Orthodox Union’s sole and absolute property. I release and forever discharge the Orthodox Union from all causes of action, suits, or damages and liability of any kind arising from or in connection with the use or publication of any Recordings of me made in connection with my participation in events. I waive any right of privacy associated with my Likeness and I waive any right to compensation related to the use of my Likeness. I HAVE READ THIS AGREEMENT AND AM FULLY AWARE OF ITS CONTENTS, INCLUDING THE RELEASE, I HAVE AGREED TO HEREIN. I warrant that I am at least eighteen years of age (or, if not, that my parent or legal guardian has agreed to the foregoing and signed below) and that I have the full, complete, and unrestricted right and authority to enter into a contract for myself (or, if not, that my parent or legal guardian has agreed to the foregoing and signed below), and on behalf of my heirs and assigns. If any provision of this agreement is held to be unenforceable, the remainder of it shall continue to be in full force and effect. Printed Name* Spouse's Printed Name* Payment InfoTotal $0.00 Coupon .ginput_container_coupon { display: flex; } input#gf_coupon_button { max-width: 100px; }