Registration

Events Registration

Event Title

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Signature

Confirm Attendance for:

Online participation

in-person participation

Participant Name(Required)

Email(Required)

Phone (XXX-XXX-XXXX):(Required)

Organization Name:(Required)

The name of the organization, First Nation, Tribal Council where you work.

Job Title(Required)

Field of Work(Required)

Please choose in the dropdown the field of the work that best describes your area

Billing Address(Required)

Use the address of the person or department who will pay the invoice.

Billing Email(Required)

Use the email address of the person or department who will pay the invoice

Do you have any dietary restrictions? If yes, please list it here.

For example. Gluten-free, food allergies, etc.

Training Coordinator Name

Training Coordinator Email

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Request For Withdrawal Date

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Replacement Name

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Walk In (not registered, but showed up)

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Comment

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Are you registering more than one person?

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Additional Person

First Name

Last Name

Job Title

Field of Work

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