Registration Form for Coming Together 2019

Building Your Network: The Value of Relationships
  • Saturday, May 4, 2019
    Free Full Day Conference
    Registration: 8:15am - 9:00am
    Conference: 9:00am - 4:00pm
  • Accessible Venue
    Hilton Garden Inn Ottawa Airport Hotel
    2400 Alert Rd, Gloucester, ON K1V 1S1
  • The conference is open to individuals with differences of abilities and their caregivers/family.

Please refer to the program available here for more information on the conference.

SCS encourages individuals with differences of abilities to participate at this event. If you anticipate needing special accommodations or have questions about the physical access provided, please contact us at admin@scsottawa.on.ca or 613-748-1788, prior to April 30th.

Caregivers are required on site and encouraged to participate in Building Community through Social Capital. Equally, youth and young adults can choose to attend Building Community through Social Capital with their caregivers.


Participant 1: Contact Information

I am:
an adult or caregivera youth or young adult

I want to participate in:
Building Community through Social CapitalYou Can Be Whoever You Are

Your Contact Information

First Name*
Last Name*
Your Email*
Food Allergies:

(Vegetarian option will be available)

Any accommodation needs?

Please enter your age*

(You must be 14 or older)
Your Caregiver First Name*
Caregiver Last Name*
Caregiver cell phone*

(We may call this number during conference)
Caregiver cell phone to contact during conference if needed*
Do you have accessibility needs?
NoYes
(if the Youth Track includes physical activities)

Please specify accessibility needs*
How can we help you have a fun time at the event?

I want to register additional participants:

No1 more participant2 more participants


Participant 2: Contact Information

I am:
an adult or caregivera youth or young adult

I want to participate in:
Building Community through Social CapitalYou Can Be Whoever You Are

Your Contact Information

First Name*
Last Name*
Your Email*
Food Allergies:

(Vegetarian option will be available)

Any accommodation needs?

Please enter your age*

(You must be 14 or older)
Your Caregiver First Name*
Caregiver Last Name*
Caregiver cell phone*

(We may call this number during conference)
Caregiver cell phone to contact during conference if needed*
Do you have accessibility needs?
NoYes
(if the Youth Track includes physical activities)

Please specify accessibility needs*
How can we help you have a fun time at the event?

Participant 3: Contact Information

I am:
an adult or caregivera youth or young adult

I want to participate in:
Building Community through Social CapitalYou Can Be Whoever You Are

Your Contact Information

First Name*
Last Name*
Your Email*
Food Allergies:

(Vegetarian option will be available)

Any accommodation needs?

Please enter your age*

(You must be 14 or older)
Your Caregiver First Name*
Caregiver Last Name*
Caregiver cell phone*

(We may call this number during conference)
Caregiver cell phone to contact during conference if needed*
Do you have accessibility needs?
NoYes
(if the Youth Track includes physical activities)

Please specify accessibility needs*
How can we help you have a fun time at the event?


Conference Sponsor


Titan Cleaning Services Inc.
www.titancleaningservices.com