2016 Student Advisors' Conference Registration
Thank you for your interest in attending the 2016 Student Advisors' Conference! Please complete the following form to submit your registration - instructions for payment options are included in the form.

Note that your registration will be confirmed within 5 business days of you submitting this form. If you do not receive a confirmation email of your registration within that time frame, please contact us at ombuds@ualberta.ca or call 780-492-4689.

For more information about the conference, please visit www.ombudservice.ualberta.ca/StudentAdvisorsConference

Name (Last, First)
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Preferred Phone Number
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Preferred Email
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Dietary Needs
Please specify any allergies or dietary needs.
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Are you a(n):
If you require accessibility accommodations at the conference, please specify.
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Would you like to receive future communication about the Student Advisors' Conference?
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