Personal Information - 2026 Healing Our Waters Great Lakes Conference

Skyline of Rochester, New York with overlay text: 2025 Great Lakes Conference. September 25-26. Rochester, New York. Hyatt Regency.

Overview
Fees
Agenda
Hotel and Travel
Sponsors
About Us

Registrant Information

Fill out the information below, then click Next to continue.

Scholarships

We want to limit barriers to participation in the Great Lakes Conference as much as possible, so we have scholarships available for those who would benefit from financial assistance. Scholarships are limited, so if you need a scholarship, please fill out this Airtable form rather than registering. A Coalition staff member will be in touch with you regarding your scholarship.

NOTE: There is a change in the travel scholarship format and process this year: Travel scholarships will be issued as a set-rate stipend to be paid after the event. More details can be found in the form.

* First name

* Last name

* Organization/Company/School

Title

* Email address

* Cell Phone

Are you a sponsor guest?

This question is required.

If yes, please indicate the sponsor with whom your registration is associated.

Do you require any accommodations (e.g., visual, hearing, mobility, etc.)?

This year, all meals provided by the Great Lakes Conference will be vegetarian. We do this in recognition of the carbon intensity of sourcing meat dishes.

If you have any allergies or other dietary restrictions, please let us know:

Do you plan to attend the Conference Celebration on Thursday, September 24 at 6 PM?

This question is required.

I plan to attend
I do not plan to attend

Will you be bringing a guest to the Conference Celebration on Thursday, September 24 at 6 PM?

This option only pertains to guests who are NOT registered for the conference. A $75 charge will be applied for additional guests. Please select this option on the next page under the optional items section. Your own attendance to the reception is already included with your conference registration.

Yes, I would like to bring a guest

If you plan on bringing a guest, please share their name here.

Email List and Membership

The Coalition has over 200 groups working together for clean water and Great Lakes restoration. If your organization is not already a member and you're interested in learning more about joining, please check the box below.

I would like to learn more about how my organization can join the Healing Our Waters-Great Lakes Coalition.

The Coalition sends out a bi-weekly newsletter with the latest in clean water and Great Lakes news, as well as funding opportunities, job openings, and webinars/conferences. The Coalition also sends out advocacy opportunities, such as sign-on letters in support of federal Great Lakes restoration funding.

I would like to OPT OUT of the Healing Our Waters-Great Lakes Coalition email list.

Waiver

Please read the general consent waiver for the Healing Our Waters-Great Lakes Coalition and its fiduciary, the National Wildlife Federation.

This question is required.

I have carefully read the agreement linked above and fully understand the terms. I am aware that I am releasing certain legal rights and agree to be fully bound by the terms.

Name

Date

Emergency contact name

Emergency contact phone number

If applicable to minors: Additionally, if signing waiver on behalf of any minor participant(s), as the parent/legal guardian, please include their name(s):

Demographic information

The HOW Coalition tracks certain demographic information to ensure our events reflect the diversity of the region. Please share demographic information with the Coalition as you are comfortable.

Race/ethnicity

Indigenous
Asian
Black or African American
Latino/Latinx
Middle Eastern or North African
White
Native Hawaiian or Pacific Islander
Multiracial
Prefer not to say
Other

Gender Identity

Female
Male
Two-Spirit
Non-binary
Prefer not to say
Other

Age Group

Under 18
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 and older

Please note that participants may be photographed, videotaped, or otherwise recorded by the Coalition and its fiduciary, the National Wildlife Federation, and/or its event partners and on any offered field trips.

By participating in the event, you hereby grant the Coalition, the National Wildlife Federation, and its event partners permission to use such images, recordings, and related content for any educational, promotional, marketing, archival, or any other legal purpose. [If participating in a field trip you may be asked to sign an additional waiver and release in order to take part in that activity.]

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