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HOMETHE CONFERENCEGLOBAL CONTEXTGET INVOLVEDRESOURCESPARTNERSCONTACT
ENGLISHFRANÇAIS INFORMATIONAGENDA REGISTRATION
THE CONFERENCE: REGISTRATION
There is no conference fee, but there will likely be a charge of at least $10.00 each for the screening of "Water" with special guests Deepa Mehta and Devyani Saltzman (to be confirmed) on Monday, February 13th, for "The Vagina Monologues" performance on Tuesday, February 14th, and for the "Grace et Gloria" performance on Tuesday, February 14th -- Check adhoc25.org for updates.

Getting in your air and train travel subsidy applications by Tuesday, January 17th will increase chances of receiving a participation subsidy. Funds are limited!
REGISTRATION, BILLET & TRAVEL SUBSIDY APPLICATION
Forum on Women's Activism in Constitutional and Democratic Reform
National and International Intergenerational Perspectives

Registration Deadline: TUESDAY, JANUARY 31st, 2006
PLEASE NOTE: Because the forum is on Parliament Hill, all participants are subject to advance security clearance. Thus, incomplete registration or late registration may prevent your attendance.

* Name:
as it appears on the photo identification you MUST bring with you
Address
as it appears on the photo identification you MUST bring with you
* Street:
* City/Town/POB:
* Province/Territory:
* Postal Code:
* Home Phone Number:
with area code
Mobile Phone Number:
with area code
Fax Number:
with area code
* E-mail Address:
Accomodation:
if you need a billet, for which nights?
check adhoc25.org for hotel links		 Monday, February 13th
Tuesday, February 14th
Wednesday, February 15th
Language Translation: None
English
French
Dari
American Sign Language
Do you need financial support in order to participate in the forum?
if you require a travel and/or child care subsidy, please fill out the form below		 No
Yes
Do you need complimentary tickets to the screening of "Water", to "The Vagina Monologues", and/or to "Grace et Gloria"? "Water" -- evening of Monday, February 13th
Neither
"The Vagina Monologues" -- evening of Tuesday, February 14th
"Grace et Gloria" (French) -- evening of Tuesday, February 14th
If other support is needed, please explain:

Participation Subsidy Application: Travel & Child Care
FORUM POLICY: Subsidies for travel will be allocated on a regional basis and to foster diversity among the participants, including age, race, sexual orientation, geographic location, socio-economic status. Those who live farthest from Ottawa and who need financial support in order to participate will receive the greatest subsidy.

Name:
as it appears on the photo identification you MUST bring with you
Address
as it appears on the photo identification you MUST bring with you
Street:
City/Town/POB:
Province/Territory:
Postal Code:
Are you under 30 years of age? Yes
No
Do you wish to indicate any characteristics that you have that would increase diversity among participants at this forum? If so, please describe:
Are you affiliated with an organization working to increase women's equality?
Name of Organization(s):
Please describe what you do to support women's equality and why you wish to attend the forum:
What is the approximate distance you must travel to Ottawa?
What is the most reasonable means of transportation to enable you to reach Ottawa in one day or less, if possible?
If you know the approximate travel time and most cost effective option, please give details:
Do you need a childcare subsidy?
full day subsidy of up to $75 or $10/hour
receipts must be provided
Number of Children:
Age(s) of Child(ren):
Total Subsidy Requested:
Comments/Suggestions:



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