Registration 2020 Conference Registration Request for Financial SupportFinancial support is available for people who are unwaged, low income, students, or experiencing other economic barriers to participation. Please email PrairieHealthConference@Brandonu.ca with your name, contact information and your request for financial support. Funding subsidies are limited.REGISTRATION FORM*required fields Tickets for Jordin Tootoo's public talk "Inclusivity Matters" are available online at http://www.wmca.ca/ Last day to register: April 9, 2020Name* First Last OrganizationAddress* Street Address Address Line 2 City Province Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country TelephoneFaxEmail* Registration TypePrices include GST(None)Conference Registration $ 189.00Conference Registration and one ticket for Jordin Tootoo's Publick Talk, "Inclusivity Matters" $ 210.00Student Registration (includes one ticket for Jordin Tootoo's Public Talk, "Inclusivity Matters") $ 157.50David Granirer's Public Talk Price: $ 10.00 CAD Quantity: Total $ 0.00 CAD Will you be presenting during the conference? Yes No Are you an exhibitor? Yes No Dietary RequirementsIf you have any dietary requirements, please specify below. Should the conference be unable to meet the specified dietary requirements, conference organizers will notify you by email. Vegetarian Gluten-free Others (please specify) Other dietary requirementWednesday, April 29List of Experiential ActivitiesPlease select one session.Activity 1 Virtual Dementia Tour by Alzheimer Society Manitoba Facilitator: Liz McLeod The Virtual Dementia Tour (VDT) is a hands-on activity which attempts to simulate a few of the physical and cognitive changes in people with dementia. With each participant “garbed” and the room set up, a pair of participants will go through different tasks and debriefing for a period of 15 minutes. This tour had been proven to increase the understanding of the needs of people with dementia.Activity 2 The Blanket Exercise Facilitator: Debby Dandy, KAIROS Blanket Exercise Facilitator; Erica Brown, KAIROS Blanket Exercise Facilitator; Susie McPherson, Cree Knowledge Keeper The Blanket Exercise is based on participatory popular education methodology and the goal is to build understanding about our shared history as Indigenous and non-Indigenous peoples in Canada by walking through pre-contact, treaty-making, colonization and resistance. Everyone is actively involved as they step onto blankets that represent the land, and into the role of First Nations, Inuit and later Métis peoples. By engaging on an emotional and intellectual level, the Blanket Exercise effectively educates and increases empathy. Activity 3 Forced Migration Simulation Facilitator: Westman Immigrant Services The Forced Migration Simulation aims to create awareness of what it is like for many thousands of people around the world who have been forced to migrate from their home country to another. Participants will be grouped into “families” and provided with resource cards such as food and health. Together they must make decisions about how to navigate their difficult situation, including whether to flee their home without important documents, bribe the military at checkpoints or try to sneak around them in the night, and whether to settle in a refugee camp or carry on to another country in the hopes of finding refuge. In the end, the simulation will help participants to understand some of the situations and emotions a refugee goes through.Activity 4 Poverty Simulation by United Way Facilitator: Janis Evans During the Poverty Simulation, you will take on the identity of someone living in poverty. You will work together with your family to live a month in poverty. Your simulated “community” is a large room. You and your neighbors’ “homes” are chairs in the center. The services you need like banks, schools and grocery stores are tables that line the perimeter of the room. Total $ 0.00 CAD Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.