Simon Fraser University WestCast 2025 Conference Indigenous Self Identification Fee Waiver

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Institution/Company

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* 5. Preferred Name (for name badge)

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* 6. Pronouns if any (for name badge)

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* 7. Will you attend Day 1 - Opening Conference Reception?

Yes

No

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* 8. Will you attend Day 2 - Welcome Conference Reception?

Yes

No

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* 9. Will you attend Day 3 - Closing Conference?

Yes

No

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* 10. Do you identify as Indigenous?

Yes

No

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* 11. Do you wish to request the registration fee waiver?

Yes

No

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* 12. Community (optional):