Web WODIL 2025 One Day Registration Form

1 Day In-Person Registration Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date Selection*

Thu. Sept. 18th, 2025Fri. Sept 19th, 2025
How did you hear about WODIL Conference*
Referred by
Disability

I am disabled and will need event access assistance
What are your disability needs
Any food requirements?*

VeganVegetarianGluten FreeNone
WODIL Terms and Conditions*

My Products

WODIL 2025 Product Image

WODIL 2025

$700.00CAD Quantity
Item subtotal:$0.00CAD

Accompanying Persons Product Image

Accompanying PersonsChild Must Be 0-11 years (Non-Refundable)

$150.00CAD Quantity

DiversityFirst Certification Product Image

DiversityFirst Certification

$1,100.00CAD Quantity

Enter coupon

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty: