THRIVE: Our Voices Rising Online Registration Form

Please register by NOVEMBER 15, 2013 to attend one or more THRIVE events for the 16 Days of Activism Against Gender Violence. For more information, email thrive@metrac.org or call 416-392-3031.

THRIVE is facilitated by METRAC, an organization that prevents violence against women and youth (www.metrac.org). These events are supported by: Women’s Place at Malvern Family Resource Centre and North York Women’s Shelter.

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* Name:

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* Phone Number and/or Email Address:

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* Organization/group (if applicable):

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* Please add my contact information to METRAC's email list to be informed of future events, initiatives and programming.

Yes, I want to be added to the email list.

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* I will attend:

Gender and Public Transit (Nov. 22, 10:30 AM-12:30 PM, Malvern Library)

Gender and Affordable Housing (Nov. 25, 6:00-8:00 PM, Jane and Sheppard Library)

THRIVE: Our Voices Rising Forum (Nov. 30, 9:30 AM-4:00 PM, Metro Hall)

Please indicate which events you will need child-minding for, how many children you will bring and their ages:

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* I require:

American Sign Language interpretation

Note-taking

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* How did you learn about these events?

Poster

Facebook

METRAC website

A contact

Other (please specify)

THRIVE: Our Voices Rising Online Registration Form

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* Name:

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* Phone Number and/or Email Address:

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* Organization/group (if applicable):

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* Please add my contact information to METRAC's email list to be informed of future events, initiatives and programming.

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* I will attend:

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* I require:

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* How did you learn about these events?

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* Any dietary restrictions (ie. Vegetarian, vegan, allergies)?

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* Do you require any other accommodations?