Families Facing Diabetes Annual Conference
Event Timing: May 6, 2022 8 am to 4 pm
Event Address: Chateau Louis Hotel 11727 Kingsway NW, Edmonton, AB
Event Fee: $20 per person pre registration $25 per person at the door
Contact us at firstname.lastname@example.org
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Mailing Address Including City and Postal Code
How many people are attending? (Kids and Adults)
Please list the names of all who are attending. For those 18 and under please include age and gender.
Who has type 1 diabetes?
If you are using a pump, which do you use?
If you are using a continuous glucose monitor, which do you use?
Please check any dietary restrictions applicable to any of the individuals attending.
I understand I need to pay my conference fees and will pay by
E Transfer to
Mailing a cheque payable to Kids n Us to Kids n Us c/o Baumgartner & Company 12816 St. Albert Trail NW, Edmonton, AB T5L 4H6
Pay at event
I have read the Children's Activity Information and give permission for the child(ren) listed to participate in all activities. I understand that this is a public event and publicity photos may be taken and posted on the kidsnus.ca website. The Kids 'n' Us: Families Facing Diabetes Society, volunteers, and event sponsors are not responsible for any loss, theft, or injury to event participants.
Yes, I agree.
A copy of your responses will be emailed to the address you provided.
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