Observer Registration Form - Western Regional

First Name:*

Last Name:*

Which category best describes your reason for attending the Enactus Canada Regional Exposition?

If other, please explain:

What is your title or role at the company or school in which you work or attend? (i.e. student, parent, CEO, etc)*

Which company or school are you from?*

Other Company/School:*

Phone Number:*

Phone Number Ext.:

Email:*

Emergency Contact Name:*

Emergency Contact Phone Number:*

Emergency Contact Phone Number Ext.:

Do you have any Accessibility Requirements?*

If yes, please explain:

I am not only an observer at this event, I am also the following (check all that apply):

If you are an Enactus Alumni or Enactus Team Advisor, please note below which Enactus teams you are associated with:

Email Communication

Waiver of Participation*

ENACTUS CANADA REGIONAL EXPOSITION WESTERN CANADA