ConversAction Registration 2019

conversAction race matters

Thursday, November 7 and Friday, November 8, 2019

The Inn of Waterloo | 475 King St. N, Waterloo, ON

Each delegate must complete this registration form.
For delegates who are currently not confirmed, please contact Ally Vonk to confirm numbers. These delegates may register at a later date using this form.
 
 

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

Role * (required)
Do you require hotel accommodations? * (required)
Do you have a preferred contact for further ConversAction details?
Please select the days/times when you are available: Wednesday evening, Thursday all day, Thursday evening, Friday all day? * (required)
Please select the days/times when you are available:
Are you located in Waterloo Region? Outside of the Region?