2021 -2022 WORKSHOP REGISTRATION

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Name *

Email *

Community *

Organization *

The Workshop Session I will attend is; *

As follow up from the Jan 2022 in person session, what questions would you like answered or discussed.

Will you be viewing this session individually or as a larger group (classroom, workplace) - for in person workshops please register each individual.

Individually

Classroom

Workplace

Family

Other:

Clear selection

Please check the following demographic(s) that apply to you:

Indigenous (First Nation, Metis, Inuit)

New Canadian

LGBTQ2S+

Male

Female

Urban Resident

Rural Resident

Under 25

Over 60

Person living with a disability

I understand that LDSCR takes photos and/or videos during workshops. I give this release on the understanding that the material produced will be used exclusively for promotion which includes newsletters, media and other communication supported by LDSCR. *

Yes

Required

Important notes:

- There is no cost to attend this workshop .
- A login link for the Zoom session will be sent to the email address provided.

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