CANARIE Summit 2022

CANARIE Summit 2022
Tuesday, October 25th and Wednesday, October 26th, 2022
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Registrant info
What type of registrant are you?
CANARIE Member
Non-Member
Student

* First Name
* Last Name
* Email Address
* Repeat Your Email Address
* Company / Institution Name
Phone Number
Street Address
* City
* Province / State
Postal / Zip Code
* Country
* Job Title:
* How would you like your name to appear on your badge?
* To help support how you'd like to be addressed by other attendees, listed pronouns will be included on Summit name badges. Please let us know your preferred pronouns.
 she/her
 he/him
 they/them
 prefer not to include
 other
If you selected "Other" above, please indicate your preferred pronouns.
* Is your organization a CANARIE Member? If your organization does not appear in the list below, please choose the last option, “No, my organization is not a CANARIE Member”.
* Please identify your role(s) at the CANARIE Summit.
 Delegate / Attendee
 Sponsor
 Media
 Other
* Please select your industry/field:
* Will you attend the CANARIE Summit in-person or virtually?
 In-person
 Virtually
* Will you attend the CANARIE Reception on Tuesday, October 25 from 5 - 7 p.m.?
Yes
No
Do you have any dietary restrictions? If yes, please list them below:
* Do you require simultaneous interpretation in French during the Summit?
Yes
No
* How did you hear about the CANARIE Summit?
 CANARIE Website
 Social Media
 Personal Invitation
 Word of Mouth
 CANARIE Email List
 Other
If you answered 'Other' to the question above, please explain.
* Do you consent to being added to CANARIE´s email communication list?
 Yes
 No
* Do you consent to CANARIE sharing your name, organization, and email address with Summit exhibitors and/or sponsors?
 Yes
 No
* Please confirm that you have read and understood the COVID-19 Precautions, and that you can provide proof of vaccination if you are attending the Summit in-person.
Yes
No
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