Buffalo Symposium 4.0

Name:*

First NameLast Name

Phone Number:*

Please enter a valid phone number.

Email:*

example@example.com

Address:*

Street Address

Street Address Line 2

CityProvince

Postal code

Nation / Group name:*

Chaperone's name:*

My pronouns are:

My Gender Identity is:

Emergency Contact Name:*

First NameLast Name

Emergency contact phone number:*

Relationship to delegate:*

Medical Allergies / Food Allergies:

Medical conditions we should be aware of:

ROLES AND RESPONSIBILITIES OF YOUTH DELEGATE:

I will attend the full duration of the Buffalo Symposium.
I will be punctual for all of the daily sessions—healthy snack breaks and lunch will be scheduled at appropriate times.
I will abstain from the use of alcohol or drugs while representing my community as a youth delegate throughout the symposium.
I will make a strong effort to actively participate in all discussions and group activities.
I understand that failure to uphold my commitment as a youth delegate means my participation in the gathering may be terminated as decided by the host organization, Métis Calgary Family Services.

Signature of Delegate:*

Date:*

MEDIA RELEASE FORM

I, , hereby grant permission to the Métis Calgary Family Services to use my photograph and/or record myself, my person, and/or my voice on still or motion picture film and/or audiotape, and use the said material to promote Métis Calgary Family Services through media, radio, marketing, and social media channels. I further waive any claim to remuneration for use of audio-visual material for this purpose, and I understand that this material remains the property of the Métis Calgary Family Services.

Signature of Delegate:*

Signature of Parent or Guardian:*

Date:*

LIABILITY WAIVER

Métis Calgary Family Services is not responsible for the loss or theft of property during the Buffalo Symposium, nor are they responsible for any injury resulting from participation in activities held during the Buffalo Symposium.

If medical attention is needed for any reason, Métis Calgary Family Services staff is authorized to seek medical assistance.

Signature of Delegate:*

Signature of Parent or Guardian:*

Date:*

YOUTH DELEGATE QUESTIONNAIRE

1. What do you hope to gain from the Buffalo Symposium?

2. What type of career would you most like to have?

3. What post-secondary would you most like to attend?

4. How did you hear about the Buffalo Symposium?

5. Have you attended previous Youth Conferences? If so, how many?

*For group bookings and cost assistance, please contact us at buffalo@mcfs.ca

For group bookings, each youth delegate is required to complete and provide individual registration information.

registration payment

Youth DelegateUse coupon code: EARLYBIRD for Early Bird Registration fee (before July 31 2026)

$150.00CAD Quantity

Chaperone (Required 1 per 6 youth delegates)REQUIRED One chaperone (18+) per 6 youth.

$50.00CAD Quantity
Item subtotal:$0.00CAD

Enter coupon

Total

$0.00CAD

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.