NS – Spring Connections Registration Form Name(Required) First Last iMIS Number(Required) Email(Required) Enter Email Confirm Email Area(Required) I am attending as (pick one)(Required)Provincial Council MemberDistrict CommissionerTreasurer (Area / District)Camp AdviserCookie AdviserInternational AdviserMembership AdviserProgram AdviserPR / Communication AdviserTraining AdviserOtherIf Other please specify(Required) I require accommodations for the following: (Check all that apply)(Required) Friday pm Saturday pm No accommodations required If required, I agree to a top bunk(Required) Yes No Dietary Requirements: I would like the following dietary requests considered - please indicate any allergies below(Required)Please note for gluten free dietary needs only: We are unable to guarantee a gluten free menu/dining room, please indicate if you would like to bring your own food to the venue and require a separate area for preparation.(Required) Yes No Accessibility: If you have any needs that would enhance your meeting experience, we ask that you self-identify yourself, so that we can consult with you to provide, or arrange suitable accommodation to support your accessibility needs during this event. Please comment below:(Required)CAPTCHAIf a CAPTCHA error occurs, try opening the form in a Private Browsing or Incognito Tab. You can also try clearing your browser cache (cookies). We recommend completing our forms on a desktop computer, using Chrome or Firefox.