Serving Veterans Through Action

Fresh Start

Fresh Start: Stability & Holiday Support Day — Veteran Registration

Saturday, November 21, 2026 | 10:00 AM–1:00 PM
55 E. 18th Street, Antioch, CA

Fresh Start is a free, small-group event for Veterans focused on practical housing and stability next steps, community resources, and an individualized stability plan.

Please complete this short form so RBINC can confirm your registration status and address any transportation or accessibility follow-up you request.

Please do not submit Social Security numbers, medical records, benefit claim numbers, discharge documents, or other sensitive records.

About you First name Last name Preferred contact method Best contact Enter the email address or phone number RBINC should use for this event.

Event registration Do you identify as a U.S. military Veteran? RBINC uses your answer as self-attestation for this registration. Do not upload discharge paperwork or other Veteran documents here.

Are you available to attend Fresh Start on Saturday, November 21, 2026, from 10:00 AM to 1:00 PM in Antioch?

What city, ZIP code, or general area would you be traveling from? Please provide only a city, ZIP code, or general area. Do not enter a full home address.

Getting to the event Would you like to request transportation assistance for this event? Transportation is a request only and is not guaranteed. RBINC will contact you separately if transportation support is available. Would you like RBINC to contact you about an accessibility or accommodation need for this event? Do not provide a diagnosis, medical history, or detailed medical information on this form.

Submit your registration I give RBINC permission to contact me about my Fresh Start registration, attendance confirmation, event reminders, transportation if requested, and event-related follow-up. I understand that my completed eligible registration reserves my spot for this Fresh Start event. If I can no longer attend, I will let RBINC know as soon as possible so the spot may be offered to another Veteran. I understand that I am joining the waitlist. Joining the waitlist does not guarantee an event spot. RBINC will contact me if a spot becomes available and is offered to me.