Registration — SC Retreat for A Black Agenda

Personal Information

First Name *

Last Name *

Email Address *

Phone Number

Optional — day-of logistics only

SC Region *

Organization / Affiliation

Role / Sector

Registration Tier

All registrations include both meals — Saturday lunch and Saturday dinner are covered at every price level. No one will be turned away.

Early Bird pricing through May 31, 2026. Register now and save $10.

Registration deadline: June 13, 2026. No registrations accepted after this date — register early to secure your spot.

Solidarity

Solidarity Registration

Waiver request or donation — honor system, no verification required

✓ Both meals included

Student / Senior Early Bird

By May 31, 2026 · Self-identify · No verification required

✓ Both meals included

$15

Student / Senior

Student / Senior Regular

June 1, 2026 and after · Self-identify · No verification required

✓ Both meals included

$25

Early Bird

General Early Bird

By May 31, 2026 · Save $10 on general admission

✓ Both meals included

$25

Regular

General Regular

June 1, 2026 and after · Full general admission

✓ Both meals included

$35

Day of Event

Day of Event Registration

Walk-in · June 27, 2026 · Subject to availability

✓ Both meals included

$40

Additional Donation (optional)

Any amount helps cover costs for others attending

Meal Preferences

Both meals are included in your registration. Catered by Rosie Davis (Black-owned). Vegetables not cooked with meat. Vegetarian options available.

Saturday Lunch Included

Sandwich · fruit · chips · drink · cookie · vegetarian option

Saturday Dinner Included

Baked & fried chicken or whiting · 3 sides · salad · bread · water/tea · dessert

Which meals will you attend?

Yes, I plan to attend Saturday lunch (included) Yes, I plan to attend Saturday dinner (included)

Dietary preference

Describe any allergies or restrictions

Roundtable Preferences

Three concurrent roundtables run Saturday. Select your preferred roundtable for each slot — you may change on-site. Helps us plan room capacity.

Slot 1 — 10:45 AM–12:00 PM

Roundtable A

War

Policing Reform · Demilitarization · Mass Incarceration

Roundtable B

Sex/Health

Maternal Mortality · Environmental Justice · Housing

Roundtable C

Entertainment

Arts & Cultural Resistance · Media · Storytelling

Slot 2 — 12:15–1:30 PM

Roundtable A

Politics

Voting Rights · Voter Suppression · Heir Property

Roundtable B

Economics

Food Sovereignty · Cooperatives · Mutual Aid

Roundtable C

Education

Historical Erasure · Curriculum Truth · HBCUs

Slot 3 — 3:15–4:30 PM

Roundtable A

Law

Reparations · Restorative Justice · SC-Specific Harms

Roundtable B

Labor

Labor Organizing · Wealth Extraction · Economic Inequality

Roundtable C

Religion/Spirituality

Faith as Resistance · Healing Justice · African Traditions

Accessibility & Special Needs

I need the following (check all that apply)

Childcare services on-site Lodging information (out-of-town attendees) ADA / mobility accommodations Hearing or visual accommodations

Describe your accessibility or support needs

How Did You Hear About This Retreat?

Referred by (name or organization)

Anything Else?

Comments or questions

Interested in volunteering?

UICD mailing list

By registering you confirm your agreement to attend.
Payment instructions will appear on the next screen.

✓

You're registered!

Thank you for registering for the SC Statewide Retreat for a Black Agenda.
Both meals are included — no additional charge.

Payment Instructions

Solidarity

In your payment note, include your full name and ticket tier.
Example: "Jane Smith — General Early Bird"

Solidarity registrants: no payment needed. If donating, any amount is welcome.

Friday, June 26 — Doors open 4:00 PM
Saturday, June 27 — Registration opens 8:00 AM

Questions? sc-retreat@proton.me