Group Leader Orientation Registration

Nov 2-3, 2024
Edmonton, AB

Name

Please include your name as it appears on your legal ID for travel purposes.

Preferred Name

If different from legal name

Date of Birth

If you will be flying to the orientation, please include your date of birth for the flight booking.

Form Date Field

mm/dd/yyyy

School/Group Name

Position/Title

Phone

City and Province

Please provide a brief description of your exchange experience

Please provide your personal objectives for this training

Please indicate your travel preferences (airport you wish to depart from, if you wish to drive, or combination)

*due to budget restrictions, mileage may or may not be covered by the YMCA

Please note any special requirements you may have (e.g. dietary, allergies, etc)

Please indicate the number of nights you require accomodations

Do you have a roommate preference?

Send me a copy of my responses