Attendee Registration Form

First Name

Last Name

Organization / Collective

Domain of work

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Country where you are based in, or nearest option if your exact country is not in the list (in the next question you may enter the correct country if it’s not in the list provided

Please add the country where you are based here if it is not provided in the country list, in the question above

Region (Best fit according to you)

Preferred Language? (for Interpretation / Translation / Sing Language, if you require Sign Language please be specific as to the form)

Access needs? (Is there anything we should know about your connectivity, disability, neurodivergence, or other circumstances that would help us support your participation?)

The following questions are voluntary/optional and will not affect your participation in the convening. We ask because we want to understand whether we are genuinely reaching communities that are often excluded from spaces like this, and to hold ourselves accountable for who is and is not in the room.

Age Range

Gender Identity

Pronouns

Which best describes the community or environment where you are primarily based?

Short introduction about yourself (You can share about your Aspirations/Achievements /Identity/interests/commitments)

Are there aspects of your identity or context that have historically created barriers to participation in spaces like this? (Ex: caste, race, disability, sexuality, language, geography, religion, class, etc.) You are welcome to share as much or as little as you like, or to skip this question entirely.

The following questions will help us plan the convening better

How did you hear about us?

What are your expectations from the virtual regional convening?

What would you like to contribute or offer to others in this space?

Do you have any questions for us?

Consent statements

I consent to receive communication regarding the convenings via email to keep you informed. We will not share your email with third parties or send more emails than is needed.

I consent to being recorded during the virtual convening.

Please share your reason for the same. You can choose to keep your videos off/ use only chats for communication/ use a nickname in case you are uncomfortable

Please note that we will use AI for translation and note-taking for the meeting. The notes will help us review our convening better and help build better convenings in future. I consent to note-taking.

Please provide your reasoning for context?

We are building a data ecosystem that belongs to the Global Artivism community not to Global Artivism as an organization. Would you be willing to contribute to shaping how data is collected, governed, and used? This would involve 1–2 online conversations or brief surveys at a time that works for you.

Personal Information & Communications for this event: By completing this registration, you consent to Global Artivism processing your personal information in-line with Global Artivism’s data and privacy policies for the purposes of this event and sending you relevant information regarding this specific event.

General Communications: Would you also like us to keep you informed about future Global Artivism events and initiatives. You can unsubscribe at any time.

I understand I can withdraw any of these consents at any time by contacting info@globalartivism.ca and this will not affect my participation in Global Artivism.