Please Select Your Registration Category*	Participant Student Sponsor Representative Lead Concurrent Session Speaker Plenary/Keynote Speaker Lived Experience Scholarship Recipient Lived Experience Participant Invited Guest
Participant $560.00 CAD
Lead Concurrent Session Speaker $210.00 CAD
Plenary/Keynote Speaker $560.00 CAD
Lived Experience Participant $210.00 CAD
Lived Experience Scholarship Recipient $560.00 CAD
Sponsor Representative $560.00 CAD
Student** $320.00 CAD
Invited Guest $560.00 CAD
Inclusion Fee - This fee gives CAEH19 the opportunity to offer discounted registration for up to 150 people with lived experience.  $84.00 CAD
Inclusion Fee - This fee gives CAEH19 the opportunity to offer discounted registration for up to 150 people with lived experience.  $31.50 CAD
**A limited number of student spaces are available. To qualify for the student rate, students must be registered and paid by September 27, 2019. Students must provide proof of full-time registration as an Undergraduate, Masters or PhD student at a Canadian post-secondary institution in a program related to homelessness. Please email a letter from your Dean indicating your student status to caeh@goldenplanners.ca.
Discount Code
Salutation*	Mr. Mrs. Ms. Mx. Dr. Hon. Rev.
First Name*
Last Name*
Post-Nominal Honorific/Designation
Title/Position
Department
Branch
Organization*
Address*
Address Line 2
City*
Province/Territory*	Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other (Please specify)
Other (Province/Territory)
Country*	Canada United States Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe
Postal Code*
Phone Number*
Extension
Email*
Confirm Email*
Language Capabilities	Anglophone Francophone Bilingual
We have taken steps to ensure the inclusion of LGBTQ2S people by adding space on all conference name badges to include pronouns. Please select your pronouns or add some we may not have.
She/Her/Hers
He/Him/His
They/them/theirs
Other
I have read and agree to the Conference Registration Terms and Conditions, including the cancellation and refund policy*
I give permission for CAEH to photograph me during the conference and use the material as stipulated in the above Conference Registration Terms and Conditions	Yes No
Permission to include my contact information on the list of participants*	Yes No
By providing your permission, your contact information (no credit card information is ever stored in our database) will be added to the CAEH database to send you periodic notices describing other opportunities and marketing-related materials regarding CAEH19 and other CAEH events. Do you consent to being added to our database and receiving periodic communications by email from CAEH?*	Yes No
Special Accessibility Requirements
Special Dietary Requirements:
Vegetarian
Vegan
Lactose Intolerant
Celiac
Other