Welcome to the registration form for Re:Generate, the 2012 Intergenerational Gathering, which is being held on October 19-21, 2012 at The NAV Centre in Cornwall, Ontario, Canada.

The conference has been designed to foster dialogue across generations and denominations with a strong focus on movement building. Much of the content will be based on engaging young adults 18-35 and their supporters in looking at creative ways to build ecumenical movements for social and ecological justice.

Please fill out this web form to register yourself as a conference participant. If you should have any trouble with this form, or would like more information about the conference in general, please feel free to contact Andrew Kohan at akohan@kairoscanada.org or 1-877-403-8933 ext 222 for assistance.

Conference registration is $250 per person. The fee includes the program, food and accommodation from Friday's dinner to Sunday's lunch at the NAV Centre in Cornwall. Each room is private, hotel style and includes high-speed internet, a television, and a private bathroom. Meals take place cafeteria style.

We encourage all those interested in the conference to apply. If the cost of registration or travel is a barrier to attendance, we ask that you contact us through Andrew Kohan at akohan@kairoscanada.org or by phone 1-877-403-8933 ext 222. Subsidies are available. Preference will be given to young adults, students, low income people, Indigenous people and people with special needs.

Once you have submitted your registration form, you should receive an email confirmation within 14 days.

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1. Please fill out the following information.

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2. Please enter your phone number in the following sections.

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3. Please enter the email you would like us to use to contact you:

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4. Please enter your address:

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5. Province/Territory (if you are coming from within Canada)

  Province or Territory Code:
Please select your Province or Territory's 2-letter code

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6. Please enter your age:

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7. Self Identification (Please check all boxes that apply to you):

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8. What languages do you speak fluently?

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9. Please indicate below if you have an affiliation with the denominations/organizations below.


KAIROS is able to reimburse travel for those who require it up to the following amounts:

Ontario $200
Quebec $250
Northern Canada $500
Atlantic Provinces $500

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10. Where possible, we also hope to consolidate individuals travelling from the same area to reduce travel costs and carbon use. Please indicate if you or your group may be travelling to the gathering with your own vehicle and may be able to give other attendees a ride:

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11. FOOD:

Meals and snacks will be provided to registered participants. At least one vegetarian option will be provided at every meal. Please let us know if you have any serious food allergies or special dietary requirements (besides vegetarian):

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12. Accommodation:

Accommodation is provided in the $250 registration fee at The NAV Centre. Accommodation is provided to individuals or to two people wishing to share a room. The fee is per participant. Couples or pairs will be charged $500 for the weekend. Please indicate if you will be staying in a room alone or with another participant.

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13. If you are lodging with another participant, please indicate that person's name here:

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14. Child Care:

KAIROS would like to make the conference accessible to young families. We are exploring the possibility of having on-site childcare during the conference. Please contact us if this would assist you!

Would you be interested in bringing your child(ren) to the conference? If so, please indicate the age(s) and any specific needs of the child(ren):

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15. Is there anything else you would like to tell us?

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