IDPD Attendee Registration
Event takes place December 1, 2023 3PM - 6PM on Zoom 
Thank you for registering for the event! In order to stay connected and to ensure you receive the event Zoom link, please answer the following questions.  
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First Name *
Last Name *
Where in Alberta Do You Live? *

Contact Information: Email

 *

Contact Information: Phone Number

 *

Do you require any accessibility accommodations for the

online event? ASL interpretation and CART captioning

will be provided.

*


Please read the following and acknowledge your understanding of this waiver.

In agreeing to this release, I (we) acknowledge the intent thereof and I (we) agree and absolve and hold harmless the organizers of this event, corporate sponsors, cooperating organizations, instructors, volunteers, staff and any other parties connected with the program(s) in any way singly or collectively from and against any blame or liability for any injury, misadventure, harm, loss, inconvenience or damage hereby suffered or sustained as a result of participation in this event or any activities associated herewith. 

I (we) hereby

understand that, in accordance with FOIP (Freedom of Information Protection Act), any of my information collected, nature of my involvement with the event, including my interaction during the event, will be kept strictly confidential. In the event of disclosure or indication of harm, current, potential or future, I(we) acknowledge and understand that the organizers, staff, and assigned volunteers are required by law to report this to the appropriate authorities. For more information about confidentiality, please contact Cerebral Palsy Alberta and/or Voices of Albertans with Disabilities.

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Required
Please read the following and acknowledge your understanding of this Photo Release waiver.

I (we) hereby give the organizers permission to be photographed/filmed. I understand that photographs and videos may be used for visual presentations (including newsletters, television, website and print media) for community education and fundraising purposes.  I (we) hereby understand that my (our) name and/or photo may be displayed throughout the course of instructional programs/classes, if applicable, and that the session I (we) may be participating in will be recorded and stored on a secure site and accessible to vetted individuals to be viewed later.  

(we cannot let people to opt out here, because it is virtual and we do not have control over other participants – if they take a photo and i.e. share on their social media. So if people want to participate, they need to agree to this photo release).

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Required
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