Indigenous Cultural Day Registration

Registration Form

The information collected in the following form will be used for the purposes of administration and/or to contact you regarding your registration, but will not be distributed externally (e.g.: via email, website, social media, third party etc.) . Please refer to the AFKA's Privacy Policy (https://afkaarchive.whatsyouranthem.ca/privacy-policy/) and Terms and Conditions (https://afkaarchive.whatsyouranthem.ca/terms-and-conditions/) to review how the information you submit is stored.

Registrant Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Alternate Phone

Email(Required)

Enter Email Confirm Email

Please select that which applies to you:(Required)

I am a Foster Caregiver

I am a Kinship Caregiver

I am an Adoptive Parent

AFKA Member #(Required)

Please note, you must be a member of the AFKA to attend this event. If you do not know your membership number, please call our office at 780-429-9923 and we can confirm your membership.

Attendance Selection(Required)

Payment Information

Indigenous Cultural Day Event Ticket (Required)

Price: $ 15.00 CAD

Under 2 Years old (FREE) (Required)

Price: $ 0.00 CAD

Total

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