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- Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Email Address REQUIRED Please fill out this field. Please enter valid data.
- Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City and Province REQUIRED Please fill out this field. Please enter valid data.
- Postal Code REQUIRED Please fill out this field. Please enter valid data.
- School Attending REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Do you attend any church? If so, let us know which one: Please enter valid data.
- How did you hear about the Conference? Please enter valid data.
- Emergency Contact Information:
- Name of Emergency Contact REQUIRED Please fill out this field. Please enter valid data.
- Relationship to you REQUIRED Please fill out this field. Please enter valid data.
- Their Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Your Health Card Number REQUIRED Please fill out this field. Please enter valid data.
- Do you have any Allergies/Medical Conditions or Dietary Restrictions? REQUIRED Yes No Please fill out this field.
- If "Yes", please list any Allergies, Medical Conditions, or Dietary Restrictions:
- Liability Information:
  Please read the following carefully:
  
  I give my permission for my son or daughter to attend the 2025 Northern Ontario Catholic Leadership Conference, to be held February 22, 2025 at St. Joseph-Scollard Hall, North Bay, Ontario. If needed for health reasons, I give permission for him/her to be evaluated, diagnosed, treated, and/or given medication in accordance with standard medical practice by licensed medical personnel. I relieve the organizers of the event, its employees and volunteers, of all responsibility and consequences that may arise as a result of this treatment. I will not hold the event organizers, its employees or its volunteers liable in the event of injury. Further, I agree to accept any and all financial responsibilities as a result of scheduling medical treatment.
  
  The participant agrees to abide by all the rules and regulations stated by the event organizers and by the hosting group. I understand that the organizers of the event will not be held liable if the participant fails to cooperate with the regulations and that any infraction of the rules may result in immediate dismissal from the event at my expense. I will not hold the organizers of the event, its volunteers or the conference liable for any missing personal items.
  
  By attending this event consent is given to use any photographs or video footage that may be taken for the purpose of publicity, or promoting future events.
- I agree to the terms above. REQUIRED Yes, I agree. Please fill out this field.
- Name of Parent/Guardian who gives permission REQUIRED Please fill out this field. Please enter valid data.
- Registration Fee:
  Please read the following carefully:
  Registration Fee includes registration to the conference, lunch, dinner, snacks and materials needed for the day.
  
  EARLY REGISTRATION FEE: $35 (only until January 17, 2025!)
  
  REGISTRATION FEE (beginning January 18, 2025): $50
  
  All payments are to be made via ETransfer to:
  [email protected] **Please make sure to include your name in the message box that matches your Registration Form**
  Schools, church groups and Dioceses who wish to make alternate payment plans for a group can do so by contacting us.
  
  REFUND POLICY
  If there is an unexpected circumstance and you need to cancel, please note:
  Cancellations 30 days or more prior to the Conference can be reimbursed 50% of the registration fee.
  No refunds will be given for cancellations within 30 days of the Conference.
- For my Registration Fee: REQUIRED I will send an E-Transfer to [email protected] when I complete this form I am submitting my Registration Fee as part of a church/school group. Please fill out this field.
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Registration

Registration is NOW OPEN!