• Registration Form - Ontario First Nations HIV Education Circle Youth Peer Training

    November 3-5, 2026 - London, ON
  • Format: (000) 000-0000.
  • Travel Information

    Note** - All delegates should travel with valid and up-to-date identification (e.g. status card, drivers license, health card, passport etc.); Also, please leave yourself enough time to travel comfortably. Those driving should take their time as snow may be expected on your route. Those flying must keep in mind that you need to be at airport no later than (1.5 hours prior to departure), if you are late you will not be able to board the flight.
  • Mode of Transportation
  • ADDITIONAL INFORMATION - MEDICAL/ALLERGIES/DIETARY/EMERGENCY CONTACT

    Note** - If a delegate has a specific medical concern and/or allergy, please identify this within the form so we are able to ensure that specific needs/requirements are accomodated. Any delegate with a medical/allergy concern much travel with appropriate medication(s). 
  • CONSENT TO PHOTOGRAPHY/VIDEOGRAPHY/RELEASE OF IMAGE

    There may be photographs and/or video footage taken throughout the duration of our Ontario First Nations HIV Education Circle Youth Peer Training. As such, we must obtain consent from all participants over the age of 18 and/or the parents/legal guardians of delegates under the age of 18 years in order to release and/or reproduce their image. This form allows us, the organizers, to utilize photos/videos taken during the event in the development of future publications/promotions/. Please sign this portion (if in agreement); to consent to the use of image, voice and/or other captions/depictions of me; being shared an/or used for the production of materials, promotion, publications etc. understanding that the promotions/publications/materials etc. may be shared widely.
  • Please check the following statement that applies
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