YWITT Workshop Registration

Select Workshop that you wish to register for:

Full: Dawson Carpentry: May 20 2011 12:00AM

Registrant Information
* = required field

First Name*
Last Name *

Address*
Address 2
City*
Province*
Postal Code (no spaces)*

(All phone numbers in a ### - ### - #### format please)
Daytime Phone *	ext:
Fax
Evening Phone
Email Address*


If you are registering someone else on their behalf, please check this box


Additional Comments

Waiver YUKON WOMEN IN TRADES AND TECHNOLOGY AND ADVANCED EDUCATION LIABILITY & MEDICAL RELEASE I hereby agree to release Yukon Women in Trades and Technology and Advanced Education (hereinafter referred to as the ''Organizers''), their representatives, agents, servants and employees from liability for any injury to the named person, resulting from any cause whatsoever occurring to the named person at any time while participating in workshop activities, including travel to and from these activities, excepting only such injury or damage resulting from wilful acts of such representatives, agents, servants, and employees. I do voluntarily authorize the Organizers to obtain routine or emergency diagnostic procedures and/or routine of emergency medical treatment for the named person as deemed necessary in medical judgment. I agree to indemnify and hold harmless the Organizers for any and all claims, demands, actions, rights of actions, and/or judgment by or on behalf of the named person arising from or on account of said procedures and/or treatment rendered in good faith and according to accepted medical standards. PHOTO RELEASE I agree that still photographs and videotapes of me taken during the course of the Workshop may be used and reproduced by Yukon WITT in promotional materials and bulletins.
By checking this box I signify that I have read and agree to the waiver above.

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