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* 1. What is your Full Name?

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* 2. Write the name of your country (or countries) of citizenship.

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* 3. What is your email address?

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* 4. Do you identify as LGBTQI2+? An Ally?

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* 5. What did you do in Canada/NZ/Australia?

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* 6. Where were you based in Canada/NZ/Australia?

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* 7. In 100 words or less, describe your experience in Canada/NZ/Australia

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* 8. 1/4 Upload your photo/s or document from your trip to Canada/NZ/Australia that you would be happy to see posted on social media such as Twitter, Facebook and Instagram.

We are looking for photos or clips of you enjoying touristy places in Canada/NZ/Australia or of you and your friends participating in activities (e.g. skiing, hiking, canoeing, enjoying poutine, museum, outdoors, enjoying the four seasons in Canada, road trip, etc.).

PNG, JPG, JPEG, GIF file types only.
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* 9. 2/4

PNG, JPG, JPEG, GIF file types only.
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* 10. 3/4

PNG, JPG, JPEG, GIF file types only.
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* 11. 4/4

PNG, JPG, JPEG, GIF file types only.
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* 12. If you have a social media account, please let us know so we can tag you!

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* 13. Read and check this box to confirm that you have read and agree to the digital consent form 

https://www.canadadownunder.org.au/personal-release-and-consent-form-canadventure/

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