Conference Registration
Dates: March 23-25, 2018

Conference Venue: Workers Art & Heritage Centre, 51 Stuart St., Hamilton, ON
The Workers Art & Heritage Centre is fully wheelchair accessible.


Email address *
Name *
Your answer
Preferred Gender Pronoun (optional)
We ask for gender pronouns to ensure that all gender identities are respected. Examples of gender pronouns are she/her, he/him, they/them, ze/zir or others.
Your answer
Email *
Your answer
Organization (optional)
Your answer
City of residence (optional)
Your answer
What days will you attend? *
Admission includes catering on each day. Please note that admission rates for "student, senior, underemployed and unemployed" are open to all who identify as such.
Dietary restrictions *
Support Requirements *
Will you be accompanied by a service animal? *
Will you be accompanied by an attendant, caregiver, assistant, or support worker? Please note that admission will not be charged for the attendant, caregiver, assistant, or support worker. *
Is there anything else we need to know that might help you get the most out of Art & Social Strata, or to make any of the programming more accessible to you? Please describe.
Your answer
I understand that I will have to pay admission fees upon arrival for Day 2, Day 3 or the full conference. *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Art & Social Strata. Report Abuse - Terms of Service