SERDC Lift Conference 2023 Registration Form

SERDC Lift Conference 2023

Registration Form

First Name

Last Name

Phone Number

Please list any dietary restrictions you may have

Which community you are registered to

Please select one of the following

I am travelling into Winnipeg from my community. I live in Winnipeg.

Please complete the following ONLY IF you are travelling to Winnipeg from your Community (If you live in Winnipeg, you do not need to complete this section.)

I will need a hotel room for October 2

Yes No

I will need a hotel room for October 3

Yes No

I will need a hotel room for October 4

Yes No

Please list the names of additional people who might be staying in the same room - (up to 3)

Person #1

Dietary restrictions

Person #2

Dietary restrictions

Person #3

Dietary restrictions

SERDC Lift Conference 2023

Registration Form

204.230.6330

info@eventcamp.ca

Let's Get In Touch!

Thank you for your registration, we will send you additional information shortly.