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Vancouver Register

Vancouver Registration Form

"*" indicates required fields

1

Step 1:

Informed Consent and Acknowledgement

2

Step 2:

Registration

Informed Consent and Acknowledgement

Pre-requisite to register

A signed release is required to complete registration.

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Please complete this release and upload the signed version below. Note, this form requires the initials and signature of a parent or guardian. Please review the form carefully before submitting.

Please complete this release and upload the signed version below. Please review the form carefully before submitting.

Max. file size: 2 MB.
Registrants must be 14-18 years old by November 21, 2024 to participate in the Summit.

Registration

Youth attendee information

Code of Conduct*
Languages spoken*
Gender*
Preferred pronouns*
Address of Residence*
School Address
How did you hear about this event?*

Health and Medical Information

Do you have any health-related conditions we should know about? (e.g., asthma, diabetes, etc.)*
Will you be required to take any medication during the event*
If yes, please download this form and complete according to the instructions.
Do you have any allergies?*
Do you have any dietary restrictions? (e.g., vegetarian, Vegan, Halal, Kosher, Gluten-Free, Dairy-Free, nuts, etc.)*
Do you have any special needs or accessibility requirements (e.g., wheelchair access, visual/hearing assistance, etc.)*

Parent/guardian information

Emergency Contact

Emergency Contact Name*

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