Indigenous Youth STBBI Summit Registration Form
Indigenous Youth STBBI Summit
Calling all Indigenous youth in Ontario living with or affected by HIV, AIDS and/or other sexually transmitted and blood-borne infections (STBBIs): We are hosting a 4 day gathering in Ontario to support, uplift & learn from each other! The goal of this gathering is to connect and form an Ontario-based support network. Attending would mean continually meeting with support from the Native Youth Sexual Health Network (NYSHN). During the gathering we will do real talk, self - care, HIV 101, culture, land & art based ways to care for & express yourself.

This gathering will be hosted near North Bay November 22nd-25th, on the lands of the Anishinaabe of Nipissing First Nation. Exact address will be given once registration is confirmed.

Note about registration process: Unfortunately there will be limited spots to attend and we will not be able to accommodate everyone. Our decision will not be based on financial need but a distribution of ages, lived experience, and representation of local communities.

PLEASE REGISTER BY OCTOBER 22 2018

Share a name you go by and would like to be called: *
Your answer
Best way to contact you? Please list what this information is (email, phone, Facebook etc.) *
Your answer
What pronouns do you use? (ex. she/her, they/them, he/him, or you don't have to answer!)
Your answer
What is your age? *
Dietary requests *
How did you hear about this gathering?
Your answer
Why do you want to attend this gathering? *
Your answer
What qualities, skills and/or experience do you have and would you bring to this gathering? *
Your answer
Are you available to attend all 4 days? *
Are you travelling from outside of Ontario?
What costs would need to be covered to support your participation? Accommodations and meals are included and people will not be turned away based on financial need. *
Required
What community, reserve, band, territory, or nation are you from? (however you identify) *
Your answer
I am an Indigenous Person Living with HIV/AIDS and/or sexually transmitted & blood borne infections (STBBIs): *
I am an Indigenous Person Affected by HIV/AIDS and/or sexually transmitted & blood borne infections (STBBIs). This could be someone in your family of origin/choice/community.
Is there anything else you would like to add?
Your answer
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