First Name *

Last Name *

Email *

Service or Organization Name *

Title/Rank*

Have you attended the CPKN Conference in the past? *

I hereby grant CPKN permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of CPKN and will not be returned. I hereby irrevocably authorize CPKN to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose.

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As part of the CPKN Conference, sponsors may wish to contact delegates with relevant information or follow up communications related to this event. In accordance with the Freedom of Information and Protection of Privacy Act (FOIPP) and the Canadian Anti-Spam Legislation (CASL), we require your consent to share your contact details with our event sponsors and other delegates. Do we have your consent to share your contact details with sponsors and other conference delegates?

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• Cancellations on or before July 15: Full refund, less an administrative fee of $75 + applicable taxes.
• Cancellations between July 16 and August 20: Eligible for 50% refund.
• Cancellations after August 20: Non-refundable.

By proceeding, you confirm that you have read and understood the cancellation policy above. Please click the button below to acknowledge your agreement.

I Acknowledge