Registration Form

Name:iMIS #:

Will you be participating in the Friday night activities? Yes No

Please check a registration option:

Full conference – $85 ($80.95 + $4.05 GST) Banquet only – $50 ($47.50 + $2.50 GST)

Sunday morning only (breakfast) – $25 ($23.75 + $1.25 GST)

We will be providing a vegetarian option for the banquet only,

please indicate if you require this option. Vegetarian

If you have any allergies to foods that cannot be present (meaning the foods cannot be in the room with you) please list them below:

Convention Hoodie

Conference branded fleece hoodies will be available for an additional charge of $20.00, if you wish to purchase one please complete this section:

Size / XS / S / M / L / XL / 2XL / 3XL / 4XL
Numeric size / 2 / 4 – 6 / 8 – 10 / 12 – 14 / 16 / 18 – 20 / 22 / 24
Bust / 32”-34” / 35”-36” / 37”-38” / 39”-41” / 42”-44” / 45”-47” / 48”-51” / 52”-55”
Waist / 24”-25” / 26”-27” / 28”-30” / 30”-32” / 33”-35” / 36”-38” / 40”-42” / 42”-44”
Hip / 33”-35” / 35”-37” / 37”-39” / 39”-41” / 42”-44” / 45”-47” / 48”-50” / 50”-52”
Sleeve length / 30”-30.5” / 30.5”-31” / 31.5”-32” / 32.5”-33” / 33.5”-34” / 34”-34.5” / 34.5”-35” / 34.5”-35”

Small

Medium

Large

Xlarge

2xlarge

3xlarge

4xlarge

We will not have extra hoodies available for purchase, if you do not have a size checked off you will not receive a hoodie. Please note: the hoodie sizes run small, consider ordering one size up from your normal size.

Method of Payment

Please add $10 to your total if you are signing up for the Canadian Human Rights Museum Tour.

We can accept cheques (payable to Girl Guides of Canada), money orders or payment by Visa/MasterCard.

Total amount to be paid (registration option + hoodie + additional costs): $

Credit Card Cheque Money Order

Number:

Expiry:

Additional Registration Information

Registration forms must be returned to the provincial office by Friday March 25, 2016.

Completed registration forms can be sent via mail to Girl Guides of Canada, 213 – 530 Century Street, Winnipeg MB, R3H 0Y4; via e-mail to ; via fax to (204) 774-9271 or dropped off in person (there is a locked drop box at the rear of the building).

Cancellation policy: No refunds will be given after Wednesday March 30, 2016. All cancellations must be made in writing or e-mail; cancellation via telephone will not be accepted. An administration fee of $20.00 will be charged for all cancellations.

Rangers are invited to attend the conference. The SG.1 and SG.2 forms for Rangers will be available on the provincial website.

Module Choices

Please make sure you make three module choices per session. We will not be contacting participants who make less than three module choices if their first or second choices are full. In the event that three choices are not listed and the choices provided are full you will have no module slotted for that time period.

Session Number / Module Options
Session 1
In the Beginning /
  • Historical Fashions
  • T-shirt Quilting
/
  • Healthy Relationships– Double Session
  • Heritage Skills

Session 2
Bridging the Gap /
  • Famous Five Challenge
  • Colour Parties and Flags
/
  • Healthy Relationships–
  • Continued
  • Team Building Games

Session 3
Here & Now /
  • Creating Inclusive Spaces for Transgender Kids
  • Make Friends with STEM
/
  • Say No to Violence Challenge
  • Succession Planning

Session 4
Exploring the Decades /
  • Canadian Museum for Human Rights Tour
  • Dalnavert Museum Tour
/
  • Legislative Building Tour
  • Downtown Walking Tour
  • Drop-In Service Project

Session 5
Future Forward /
  • Branch Sharing
/
  • Recruitment

Choice 1 / Choice 2 / Choice 3
Session 1 / Choose:Historical FashionsT-shirt QuiltingHealthy RelationshipsHeritage Skills / Choose:Historical FashionsT-shirt QuiltingHealthy RelationshipsHeritage Skills / Choose:Historical FashionsT-shirt QuiltingHealthy RelationshipsHeritage Skills
Session 2 / Choose:Famous FiveColour Parties and FlagsHealthy Relationships (cont'd)Team Building Games / Choose:Famous FiveColour Parties and FlagsHealthy Relationships (cont'd)Team Building Games / Choose:Famous FiveColour Parties and FlagsHealthy Relationships (cont'd)Team Building Games
Session 3 / Choose:Inclusive Spaces for Transgender KidsMake Friends with STEMSay No To Violence ChallengeSuccession Planning / Choose:Inclusive Spaces for Transgender KidsMake Friends with STEMSay No To Violence ChallengeSuccession Planning / Choose:Inclusive Spaces for Transgender KidsMake Friends with STEMSay No To Violence ChallengeSuccession Planning
Session 4 / Choose:Human Rights MuseumDalnavert MuseumLegislative BuildingDowntown Walking TourDrop In Service Project / Choose:Human Rights MuseumDalnavert MuseumLegislative BuildingDowntown Walking TourDrop In Service Project / Choose:Human Rights MuseumDalnavert MuseumLegislative BuildingDowntown Walking TourDrop In Service Project
Session 5 / Choose:Branch SharingRecruitment
If you chose Branch Sharing please indicate the branch you are interested in attending: Choose:SparksBrowniesGuidesPathfindersRangeresTrefoil Guild