Wellness Summit 2024 - Registration Application Form

Registration Application Form

Join us at Shingwauk Kinoomaage Gamig, Centre of Excellence In Anishinaabe Education, in Sault Ste. Marie, Ontario from October 15th - 17th, 2024.
Join us for the upcoming Children of Shingwauk Alumni Association (CSAA) Wellness Summit — a celebration of health and community! The CSAA is a survivor-led organization whose mission is to provide for the well-being of former students of the Shingwauk and Wawanosh Indian Residential Schools, their families, and their communities.

Event Dates: Tuesday, October 15th to Thursday, October 17th, 2024

Recommended Travel Dates: Monday, October 14th and Friday, October 18th, 2024.

Location: Shingwauk Kinoomaage Gamig, Centre of Excellence In Anishinaabe Education, in Sault Ste. Marie, Ontario

We are inviting three (3) delegates from our partner First Nations and organizations, including one Youth, a Support Worker and a Survivor or Elder, to join us for the Wellness Summit.

We will contact you or the person who has registered you no later than September 10th, 2024, to confirm your registration details and attendance.

Please don't hesitate to contact us if you have any questions or need help applying to join this event:
- Email: events@ingaged.ca. Please include "CSTWS24" in the subject line to ensure a quick and relevant response.
- Phone: 1 (807) 700-7001 (Monday - Friday, 9:00 AM - 4:30 PM (ET)).

Let's get started
We are encouraging the first three (3) delegates from our partner First Nation and organizations to join us in-person for the Wellness Summit. How would you like to attend this event?*

In Person at the VenueVirtually, via Zoom
Full Name*

First NameLast Name
Email*
example@example.com
Direct Phone Number*
Please enter a valid phone number.
Is the number you provided a cell or landline?*

CellLandline
To support our community, we are offering sponsorship for up to three (3) registrants from either First Nations or Partner Organizations. Please select your category:*

First NationsOrganizationPresenter

First Nation Community
First Nation Community*
Which First Nation Community do you represent?*
Please provide the following details for three (3) representatives or less from your First Nation or affiliated organization who would like to attend the Wellness Summit. If you have any questions or technical difficulties with the form, please don't hesitate to email us at events@ingaged.ca.
Full Name of the Youth

First NameLast Name
Email
example@example.com
Direct Phone Number
Please enter a valid phone number.
Full Name of the Support Worker

First NameLast Name
Email
example@example.com
Direct Phone Number
Please enter a valid phone number.
Full name of the Survivor or Elder

First NameLast Name
Email
example@example.com
Direct Phone Number
Please enter a valid phone number.

Partner Organization
Partner Organizations*
Which Organization do you Represent?*
Please provide the following details for three (3) representatives or less from your organization who would like to attend the Wellness Summit. If you have any questions or technical difficulties with the form, please don't hesitate to email us at events@ingaged.ca.
Full Name of the First Representative

First NameLast Name
Email
example@example.com
Direct Phone Number
Please enter a valid phone number.
Full Name of the Second Representative

First NameLast Name
Email
example@example.com
Direct Phone Number
Please enter a valid phone number.
Full Name of the Third Representative

First NameLast Name
Email
example@example.com
Direct Phone Number
Please enter a valid phone number.

Consent and Agreement
By attending the Children of Shingwauk Alumni Association (CSAA) Wellness Summit 2024, you consent to being photographed and have both audio and video recorded. These images and recordings may be used for promotional purposes, including on the CSAA, NORDIK or Shingwauk Kinoomaage Gamig or other websites, social media, and in other marketing materials or reports. If you have any concerns or wish to opt-out, please notify the registration desk upon arrival.*

Clear
By registering for the Children of Shingwauk Alumni Association (CSAA) Wellness Summit 2024, you acknowledge that your personal information will be collected and retained by third-party service providers involved in the organization and execution of the conference. These providers are committed to protecting your data and will use it solely for purposes related to the conference. Your data will not be shared with unauthorized parties.*

Clear
If applicable, by registering for the Children of Shingwauk Alumni Association (CSAA) Wellness Summit 2024, you acknowledge that you are familiar with the conditions of accommodation and travel.*

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Registration Application Form