Registration for the 2024 Gathering on October 25 at Children of the Earth High School in Winnipeg The Gathering 2024 Registration This event has only 337 space(s) left. If you continue and register more than 337 people (including yourself ), the whole group will be wait listed. Or, you can reduce the number of people you are registering to 337 to avoid being put on the waiting list. How many people are you registering? * 1 2 3 4 5 6 7 8 9 10 Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue". Photo Consent/Liability Waiver By registering for this event: You consent to your contact information (including email address) being used by CCEDNet-Manitoba to send you information that may be of interest to you (including newsletters, events, opportunities, research, initiatives, calls for proposals, etc.). You may unsubscribe at any time by clicking on the link provided at the bottom of every message. You also give permission for your photograph and likeness to be used for media purposes, promotion and for inclusion in any future publications by CCEDNet-Manitoba. You waive any claim and right to inspect the photographs and any advertising, promotional copy or documentation that may be used in connection therewith. You also release CCEDNet-Manitoba from any liability in regards to property damage, theft, or physical injury which may occur at, on the way to, or on the way from this event. If you are registering for others, it is your responsibility to inform them of this waiver." Registered and accepted * Yes Registration Fees The Gathering is a pay-what-you-can community event. Please consider contributing what you can to ensure this community event continues to thrive. Registration Fees * - select Registration Fees - Full Price - $ 120.00 Reduced Rate - $ 85.00 Support Rate - $ 40.00 Barrier Free - $ 0.00 Presenter/Sponsor/Volunteer - $ 0.00 Below we have provided guidelines for how individuals might choose a registration rate: • Full price: employees of large organizations ($1m and above), consultants and professionals established in their careers • Reduced rate: employees of medium organizations ($250,000 to $500,000), consultants and professionals beginning their careers • Support rate: employees of small organizations (under $250,000), youth at the start of their careers, those who can cover their own costs of participating • Barrier free: people who choose barrier free might be community members who are Indigenous, Black, or People of Colour, people with disabilities, students, people with lived experience of poverty, or low-income earners. • Presenters and Sponsors: $0 Gathering Contribution If you would like to contribute an additional amount to ensure this community event continues Total for this participant Payment Options Payment Method PayPal / Credit Card I will send payment by cheque Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - Canada Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius, and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Republic Of The Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Province * - select Province - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Postal Code * Credit Card If you have a PayPal account, please enter your Billing First Name and Billing Last Name above and then click the PayPal button to continue. Otherwise, fill in the credit card and billing information on this form and click Continue at the bottom of the page. Pay using PayPal Checkout securely. Pay without sharing your financial information. Card Type - select - Visa MasterCard Amex Card Number * Security Code * Expiration Date * -month- Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sep. Oct. Nov. Dec. -year- 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 Participant Information First Name * Last Name * Pronouns Pronouns will be printed on conference name tags. If you do not wish to share your pronouns, please leave blank or enter N/A. (Examples: she/her, he/him, they/them, ze/zir, hir/hirs, etc.) Email * Organization * Type N/A if not applicable Phone + Ext * City/Town/Area * Province/Territory * - select Province - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Accessibility If there is a barrier preventing you from fully joining the Gathering, we want to help! Some accommodations, including American Sign Language (ASL), will be available at the Opening of the Gathering. Please see our accessibility statement for a full list of accommodations. Additional ASL interpretation and other accomodations can be arranged upon request. Accessibility accommodations are available by advance request by contacting Genevieve at *protected email* by October 7, 2024. Childminding will be available during the Gathering. Please pre-register by providing the number of children you are bringing for childminding to Genevieve at *protected email* by October 7, 2024. Gathering Questions Age * Ages (0-6)Ages (7-12)Ages (13-17)Ages (18-21)Ages (22-29)Ages (30-54)Ages (55-64)Ages (65+)Rather not say Do you identify with any of the following equity-seeking groups? Please check all that apply WomenIndigenousPerson of colourNewcomerLow-incomePerson with a disabilityRural/northernVisible/lingusitic minority2SLGBTQ*Rather not say What is your role in your organization? * Part-time staffProgram staffCoordinatorManagerStudent/Practicum placementVolunteerBoard MemberDirector Zip OtherN/A - attending as an individual Are you (or your organization) a member of CCEDNet? * YesNoNot sure How long have you been a member? Less than one yearMore than one year How many other times have you attended the Gathering? * This is my first time!1-55-1010+ On a scale of 1 to 5, how familiar do you feel with Community Economic Development and Community Development in Manitoba? * 1 - not familiar at all2 - a little bit of familiarity3 - average amount of familiarity4 - fairly familiar5 - very familiar What are you most looking for when attending the Gathering? * To become more knowledgeable about the practice of Community Economic Development and Community Development (CED and CD)To gain skills to become more effective in your own workTo hear stories of successes and challenges of CED workTo become more familiar with the CED and CD community in ManitobaTo network and build relationships and connectionsTo understand how government policy affects the sectorTo make plans for taking action for more inclusive, equitable, and sustainable communitiesOther Please check all that apply How did you find out about this event? * Email newsletter/promotionSocial media postWord of mouthDirectly from CCEDNet staff memberOther staff person at my organization/my directorOther Lunch Options We have attempted to include food for a variety of dietary needs. Unfortunately, we may not be able to accommodate needs outside the options below. Dietary needs * No dietary restrictionsVegetarianVegan / Dairy freeGluten freeHalalWill not be attending lunch Register