Individual Registration Form
Register now to secure your spot in our upcoming Indigenous Wellbeing Conference. Please fill out the details below. Please be advised that participants need to be at least 18 years of age, due to the nature of the topics that well be covered. Conference fees are non-refundable.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Please state what organization you are a part of. If you are not a part of an organization, please input N/A into the text box
*
Please select the option that best represents you.
*
I am an Elder
I am a member of Chief and Council for my Nation
I am a VIP speaker at this conference.
I am a participant
Please select your shirt size, the shirts are in unisex adult sizes
*
Please Select
Small
Medium
Large
XL
XXL
I am registering for
*
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Early Bird Rate
Early bird rate available on or before December 12th 2025
$
695.00
CAD
Quantity
1
Regular Registration
On or after December 13th, 2025
$
745.00
CAD
Quantity
1
I understand that I will have to pay in full before entering the conference. An email will be sent to participants with further information on how to pay.
*
Yes, I understand I will pay upon arrival the first day of the conference, with either debt, credit or cheque.
Yes, I understand, and I will mail out a valid cheque or send an EFT (this option is only available for organizations) by January 26th 2026.
My organization wish to pay be EFT.
*
Yes
No
I am not a part of an organization
Register Now
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