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IHWS Forum Consent Form
IHWS Registration
Name
First
Last
Organization Name
Email
Please Select Forum and/or Training Event:
If you register for the Fur Harvest, Fur Management & Conservation Course, please note that you will not be able to attend the evening events (Gala & Somatic Relaxation Class) throughout the week. This course will be hosted at Gwekwaadziwin Miikan's Winter Campsite. If you are attending and are not local, we recommend that you book accommodations at the Holiday Inn for Sunday, March 23rd and Thursday March 27th. You may either drive your own vehicle or carpool with Gwekwaadziwin Miikan staff to Jeremey’s Truck Stop (Nairn Centre, ON). The course starts at 10 am at our Winter Camp, Monday March 24th. If you have any questions please reach out to our Administrative Assistant at 705-968-0162. If you register for ASIST, please note you are required to attend both days to receive your certification.
Mitt Making Workshop: March 24th
Fur Harvest and Management Course: March 24th - 27th
ASIST (Applied Suicide Intervention Training) March 25th & 26th
IHWS Forum March 25 and 26
ILBC Prerequisite & Experiential Learning, March 27, 2025
Somatic Relaxation, March 26th, 7pm-8pm
Select All
Will you be attending the Celebrating Indigenous Knowledge Gala?
Yes
No
Do you require transportation to Science North?
(Required)
(This is where Gala will be hosted)
Yes
No
Meal Selection for Gala
Select only one
Beef
Fish
Vegan
Dietary Restrictions
(Required)
Do you have any dietary restrictions or allergies that we should be aware of? Please select
I have no dietary restrictions or allergies
I am vegan
I am vegetarian
I require dairy-free options
I am gluten free
I keep halal or kosher
Other dietary restriction
Please let us know in the field below
Consent
(Required)
These details will be maintained by multiple third parties as part of the event registration process and provided to the event venue.
I understand that I have made clear and submitted any dietary restrictions as part of this registration process. By completing the regitsration form and attending the event. I and my organization understand that we will not hold any party accountable if dietary restrictions or allergies cannot be accommodated for any reason.
Do you have any mobility issues or other accomodation requests so that we can provide you with the best possible support? If so, please tell us here:
Is there a phone number we can reach you at should we need to contact you urgently or confirm any of your registration details?
Consent
(Required)
Media Release Please note that there will be filming and photography taking please onsite. All filming and photography will be to document the IHWS Forum & Training Event, and will be provided to Gwekwaadziwin Miikan for their use and documentation within the Indigenous Land Based Counsellor (ILBC) program. By registerting for the Indigenous Healing & Wellness Strategy Forum and Training Event, March 2025, I consent that my image and likeness may be recorded, potentially appearing in media shared about this event and its purpose by Gwekwaadziwin Miikan.
I Consent
Phone
This field is for validation purposes and should be left unchanged.