2016 Provincial Family Gathering – RSVP on or before January 8, 2016

2016 Provincial Family Gathering (BC)

January 31, 2016 to February 2, 2016

Lheidli T’enneh Territory
Prince George BC

RSVP Registration Form
FINAL DATE TO RSVP IS JANUARY 8, 2016

Instructions: To assist us with our planning and arrangements, please use the following form

  1. This is a fillable form, please complete using a pc or lap top computer
  2. Or, if you prefer, you may also print the form then scan and send by e-mail
  3. Please e-mail the completed RSVP form to
  4. Upon receipt, you will receive an e-mail confirmation
  5. For questions about this RSVP form or about the gathering, please contact:
    Marcia Dawson, Event Coordinator at 250.590.9190 or

Main Contact Person–1stRegistration

Full Name: / Click or tap here to enter text. /
Telephone Number: / Click or tap here to enter text.
E-mail address:
(required for confirmation) / Click or tap here to enter text.
Mailing Address: / Click or tap here to enter text. /
Click or tap here to enter text. /
Postal Code: / Click or tap here to enter text. /
Heritage:
(e.g. Haida, Gitxsan, Metis) / Click or tap here to enter text.
Dietary or Access Needs / Click or tap here to enter text. /

Name of Loved One (Who is Murdered or Missing)

Full Name
/ Click or tap here to enter text. /
Your relationship to this loved one / Click or tap here to enter text.

RSVP Registration – Family member #2

Full Name: / Click or tap here to enter text. /
Heritage:
(e.g. Haida, Gitxsan, Metis) / Click or tap here to enter text.
Dietary or Access Needs / Click or tap here to enter text. /
Relationship to Loved One / Click or tap here to enter text.
Age: (please choose) / Elder ☐ Adult ☐ Child ☐ Teen☐

RSVP Registration – Family member #3

Full Name: / Click or tap here to enter text. /
Heritage:
(e.g. Haida, Gitxsan, Metis) / Click or tap here to enter text.
Dietary or Access Needs / Click or tap here to enter text. /
Relationship to Loved One / Click or tap here to enter text.
Age: (please choose) / Elder ☐ Adult ☐ Child ☐ Teen☐

RSVP Registration – family member #4

Full Name: / Click or tap here to enter text. /
Heritage:
(e.g. Haida, Gitxsan, Metis) / Click or tap here to enter text.
Dietary or Access Needs / Click or tap here to enter text. /
Relationship to Loved One / Click or tap here to enter text.
Age: (please choose) / Elder ☐ Adult ☐ Child ☐ Teen☐
  1. Do you require hotel accommodation?☐ YES☐ NO
  2. Do you require us to make your travel arrangements? ☐ YES☐ NO
  3. Will you attend the Welcome Dinner on January 31st?☐ YES ☐ NO

Questions: please contact Marcia at 250.590.9190 or by e-mail at

RSVP by E-mail Only - Send Completed Forms to:
Marcia Dawson, Event Coordinator
2016 Provincial Family Gathering (BC)
E-mail:
Please RSVP on or before January 8, 2016

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