2019 Educators’ Forum: Committee and Presenter Registration

 

 

This form is to be used only by presenters and planning committee members of the Educator’s Forum: Promoting Effective STBBI, HIV, Hepatitis C and Harm Reduction Education with Indigenous People of BC. If you’ve stumbled on this page by mistake, please visit our Training and Leadership page to learn more about capacity building and leadership training.

For all hotel and event arrangements to go smoothly, we ask all presenters and committee members to register here. Thank you. We are excited to be working with you on the upcoming 2019 Educators’ Forum February 12 and 13, 2019.

Information collected via this application form is confidential and will be used solely for the purposes of determining attendance, evaluation purposes and for post-event follow up by the event sponsors.

Presenter/Facilitator & Committee Member Registration Information

Name(Required)

Hotel Reservation Information (if required)

Please Note: A credit card or cash deposit will be required upon check-in for incidentals/damage deposit.
MM slash DD slash YYYY
MM slash DD slash YYYY

Media Release Information

We will be asking all conference participants to sign a media release form at the onsite registration desk asking for permission to use videos and/or images from the conference for our website, promotional material and reporting purposes. Please indicate below if you will NOT be signing the form so that we can have a nametag that indicates that you do not consent to have your photo taken.
Do you wish to have a special nametag to indicate that you DO NOT want your photo taken or used?(Required)
Stay Informed with PAN Weekly News
The PAN Weekly News provides community updates, learning events, research news and job postings. Would you like to subscribe?