IEN Symposium Registration Form 2013

2

Click here to load reader

Transcript of IEN Symposium Registration Form 2013

Page 1: IEN Symposium Registration Form 2013

3rd Annual OISE Indigenous Education Network’s Indigenizing Psychology Symposium

2013 REGISTRATION FORM

Thank you for registering to attend the 3rd Annual OISE Indigenous Education Network’s Indigenizing Psychology Symposium. Please complete a separate form for each individual attending. If you have any questions about registration, please call (416) 978-0732.

COMMUNITY/ORGANIZATION/INSTITUTION

FULL NAME

ADDRESS

EMAIL

PHONE NUMBER

REGISTRATION TYPE (chose one option ✓)

Academic/Practitioner/Professional $90____________

Student/Community Member $45____________

Payment Processing (Chose one option ✓)

Mail via Canada Post (enclose registration form) ____________

In Person on Day of Conference (cash or cheque) ____________ (email registration to [email protected])

If paying in advance, please make cheque payable to the University of Toronto and send payment to: Indigenous Education Network, Ontario Institute for Studies in Education 252 Bloor Street West, 7th Floor, Room 7-191, Toronto, ON M5S 1V6