Web WODIL 2025 Presenter's Registration Form

Presenter Registration Form

This Form MUST only be used by speakers whose abstract has been accepted for breakout session
Paper Acceptance Code #
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.
How did you hear about WODIL Conference
Referred by
Do You Require A Visa?*

YesNo
Passport Number
Upload Passport Copy

Cancelof
Disability

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

VeganVegetarianGluten FreeNone
WODIL Terms and Conditions*
Billing address

Billing address same as mailing addressBilling address different from mailing address
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

My Products

Presenter's Registration

$550.00CAD Quantity
Item subtotal:$0.00CAD

Accompanying Person

Children between 0-11 years old

$300.00CAD Quantity

DiversityFirst Certification

$1,100.00CAD Quantity

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Presenter Registration Form