Please provide a primary contact person for this event.
Where, specifically, is your event being held? Please provide complete information below:
Online Registration Services
Billing First Name
Billing Last Name
Billing Postal Code
CivicRegistrations.ca offers payment by Electronic Funds Transfer (EFT). If you are not already set up and would like to receive your event funds via EFT, please email
for details. [email protected]
Maximum number of registrations accepted:
Fees and Payment Options
What is the price of your event?
Please be specific, and if applicable, include information about member prices, non-member prices, and "early bird" prices.
Event organizers are responsible for remitting any applicable taxes that are
collected with registration fees. Please enter your GST/HST number.
If GST does not apply, or you are subject to another rate please explain.
Registration Form Details
All CivicRegistration.ca forms collect:
Complete contact details
Special dietary needs information, When meals are served.
Session selections, when applicable.
Notation in the registration will direct cheques to the address provided for billing unless otherwise indicated. If you would like cheques sent to an alternate address, please indicate that address here:
What is your event's cancellation and refund policy?
eg (preferred): Full refunds up to and including a specific day; no refunds after. Substitutions allowed.
Please note that if organizers charge 'cancellation fees', CivicRegistrations.ca administration
fees of $25 per refund apply. CivicRegistrations.ca does not charge an administration fee for processing refunds when no
cancellation fees are levied.
Mobile Event App
TERMS AND CONDITIONS
Required. All must be checked. Please read carefully.
I agree that, to the best of my knowledge, the information I have submitted on this form is correct and final.
If I submit additional information to CivicRegistrations.ca at a later date, and if that information results in significant
changes to my registration form, I agree that I will be charged $75/hour for any additional labour required.
I agree that if my event receives 5 registrations or fewer, a $50 minimum charge applies.
I agree that CivicRegistrations.ca is authorized to accept credit card payments on behalf of the event organizers. I also
understand that payments are held in trust until after the event is over, although advance payments are available upon request.
I acknowledge that I have the legal right to use any digital images I have provided, and that CivicRegistrations.ca is authorized
to use said images on my registration form and in related promotional materials. If I provide images for which I do not have the
legal right to use, I acknowledge that any liability is solely my responsibility as an event organizer, and not the responsibility
of CivicRegistrations.ca, its agents, and its contractors.