Prairies North regional meeting 2011 registration form

1. Your registration information

Welcome to the registration form for the KAIROS Prairies North 2011 annual meeting: Building Faithful Alliances for Indigenous Rights. Thanks for joining us.
A reminder that the meeting is Friday, September 23 - Sunday, September 25th, 2011 at Queens House Retreat and Renewal Centre, 601 Taylor St., Saskatoon (www.queenshouse.org) Registration deadline: September 16th.

If you have any questions at all don't hesitate to contact us. KAIROS welcomes everyone to our gathering. If the cost of coming to this meeting is in any way a barrier, KAIROS is happy to make support available for up to 50% of the total amount of your registration fee and your transportation costs. Please contact Helen Peters, dickpet@sasktel.net ph 306 9783 354 for more info.

All information in this form will be shared only with the organizers and KAIROS. Please note that you cannot save this form and then return to it later. You can click through the form without filling it out if you'd like to see what information is needed. Please ensure that all registration information on page 1 is filled out; if it is not filled out, we cannot contact you.

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* 1. Please fill out the following registration information:

Name:

Address 1:

Address 2:

City/Town:

Province/ territory:

Postal Code:

Country:

Email Address:

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* 2. If you're coming from a faith background, social justice or student group and would like to note that here, please do so. This helps us know a little more about who plans to come to the gathering.

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* 3. Is this your first time at a KAIROS event or meeting?

Yes