AAAW 2017 - PARLIAMENTARY BREAKFAST
Registration for the OTTAWA - LAUNCH:
November 30, 2017, 7:30 – 9:00 am EST
131 Queen Street, Room 7-52, Ottawa, ON
REGISTRATION FORM
First Name *
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Last Name *
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Title
Indicate Your Interest In Attending *
Affiliated with: Organization | Ministry | Media Outlet | School | or Community Role *
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Job Title
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Email *
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City *
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Province/State *
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Postal Code
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Rural or Indigenous Community
Please share your Indigenous identity/heritage/relationship - we would love to know what Indigenous Peoples are present.
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HIV Status (OPTIONAL)
Please, only if you want to, share your HIV status with us.
Do you have any special dietary considerations (e.g., vegetarian, celiac/gluten, diabetes, etc)?
Please let us know how we can do our best to accommodate your dietary needs.
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Do you have any mobility or other issues we can address to improve the accessibility of the breakfast for you (e.g., wheelchair provision/dedicated space, sign language, volunteer guide/support person, etc.)
Please let us know how we can support your participation here.
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