Thank you for your interest in ACT’s online forum COVID – Vaccines & Variants, with guest speaker Dr. Abdu Sharkawy.

This event is scheduled for Thursday October 14, 2021, from 6-7pm

Please complete the registration form below. We’ll need a name and email address so we can send you out a zoom link to attend the event.

We are also asking some demographic questions – these questions help us keep track of who we are reaching and identify if there are folks that we are not connecting with. Demographic information is also important to our funders. Please answer these questions if you are comfortable, but know you don’t have to – as long as you provide us with an email address, we’ll send you a link to forum.

For questions about this event, please email Aaron Clarke, ACT’s Gay Men’s Community Education and Resource Coordinator, aclarke@actoronto.org

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* 1. Please provide the contact information below:

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* 2. Of the categories listed below, which best describes your gender?

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* 3. How would you identify your sexual orientation?

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* 4. Of the choices below, which best describes your ethno-racial background?

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* 5. Do you identify as BIPOC (Black, Indigenous, Person of Colour)?

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* 6. What is your age group?        

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* 7. How did you hear about the event? (Please check as many as you wish.)

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