Educators' Roundtable 2023: Presenter registration

Thank you for agreeing to present at our upcoming Educators’ Roundtable.

Group Guidelines

At all our events, we strive to do our best to create a culturally safe environment, and ask that all participants follow our Group Guidelines and Responsibilities. These apply to people attending in-person and virtually. Please review.

Media Release Information

PAN is webcasting the event sessions live for registered participants as well as recording sessions for on demand viewing after the event for people who were not able to attend the the event live. Please note that in the registration form below you will be asked to provide your acknowledgement and acceptance of this request.

Communicable Disease Prevention

Please be mindful that some members of our communities may be immune-compromised. For people attending in-person, all participants must agree to wear a mask throughout the event (except when eating) to minimize risk of exposure to COVID or other respiratory illnesses, and to ensure the health, safety, and comfort of all who are attending, especially the most vulnerable and those who are immunocompromised.

We continue to strongly encourage both our staff, as well as our members and allies (the folks we work with and for), to be vaccinated for COVID-19 and get ongoing boosters.

Masks will be available onsite. Hand sanitizer will be provided by hotel and PAN.

PAN staff will start each day with a reminder of safety code of conduct and expectations/guidelines.

Because some members of our communities may be immune-compromised it’s important that if you’re experiencing any symptoms of illness (fever, chills, respiratory symptoms) that you refrain from attending the event in-person.

PAN reserves the right to alter these plans based on current public health conditions at the time of the event.

Presenters travelling from outside of Vancouver

PAN staff will contact presenters to discuss booking/travel options, please DO NOT book your own flights at this time. Hotel rooms will also be made available for presenters from outside of the Lower Mainland. There are questions below related to travel and accommodation.

If you have further questions, please contact:
Stacy Leblanc
Email: [email protected]

We greatly appreciate the vision of our government funders and their ongoing commitment to supporting the work of PAN. In particular we gratefully acknowledge the Public Health Agency of Canada – HIV and Hepatitis C Community Action Fund. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

Image: Linus Nylund on Unsplash

REGISTRATION

Information collected via this registration form is confidential and will be used for internal purposes related to the 2023 Educators' Roundtable (i.e., attendance tracking, evaluation, etc). All questions marked with a * require a response.

Name(Required)

First Last

Email(Required)

Organization

Title, how would you like to be identified in the program(Required)

City(Required)

Phone(Required)

Session Introduction information(Required)

Please provide a very brief biography of yourself, for introduction purposes and the event program guide.

Do you have any food allergies? (for those presenting in-person)

As noted above, under Communicable Disease Prevention, I agree to wear a mask throughout the event and follow PAN's health and safety guidelines.(Required)

Yes

TRAVEL INFORMATION (for presenters outside of the Lower Mainland who require flights to Vancouver)

Please note for people travelling from within the Lower Mainland or Vancouver Island we will also work with you to reimburse for mileage, ferry costs, etc).

Will you require a flight to attend and present at the Educators' Roundtable?(Required)

Yes

Those requesting flights will be contacted for further information. *Please DO NOT book your flights at this time.*

If you indicated YES to the question above, please list name as shown on government issued photo identification

First Middle Last

Government issued photo identification will be required for people who are traveling by air.

If you are travelling from outside of the Lower Mainland, do you require a hotel reservation?(Required)

Yes

Hotel Reservation Information (for people travelling from outside of the Lower Mainland)

Please complete the information below to help streamline the reservation process. Please Note: A credit card or cash deposit will be required upon check-in for incidentals/damage deposit. If you do not have a credit card or are not able to pay a cash deposit, please let us know below in the "special requirements" section. PAN does not cover room service or any other incidental charges. I have read and understood this information.

YES

Do you have any special hotel requirements (i.e. Wheelchair accessible room, I don't have a credit card for incidentals, etc). Also please note that the hotel is a non-smoking facility:

MEDIA RELEASE INFORMATION (as noted above)

I acknowledge that PAN is webcasting and recording this event and that my name, image and voice may be broadcast and recorded. I give PAN the right and authority to use my name, voice, and image.(Required)

Yes