Register

Welcome to Connecting the Dots online registration. Firstly, should you have any issues with this form please call 1.800.563.2642 who will register you. Please have your credit card ready.

The registration fee is listed below, and you will require a credit card or PayPal account, or pay by cheque to complete the registration form.  Your login credentials will not be enabled until payment is received/processed.

Delegate Information

1. Title

5. Do you identify as someone living with sight loss?

6. Language Preferred Written

7. Language Preferred Spoken

10. Preferred Email Type

12. Preferred Phone Type

13. Do you require ASL Interpretation?

14. Mailing Address

15. Age Range (Please note this information will help us for our match making sessions and content development.)

It will be visible to all conference delegates and exhibitors. (200 words)
17. Permission to Share my email with other Delegates and Exhibitors:

Delegate Type

18. How would you describe yourself? Please select all that apply.

Communication Preferences / Consent Information

In addition to being contacted about CNIB programs and advocacy campaigns I have registered for; I want to be contacted by CNIB for the following:

19. General information about new programs, advocacy campaigns and fundraising initiatives

20. Annual participation surveys used to evaluate and demonstrate the impact of CNIB programs and advocacy campaigns.

21. Occasional research initiatives to support Canadians with sight loss.

Declaration and Submission

This form is to be signed by the participant in the program or by their parent or legal guardian if the participant is under 18 years of age at the time of registration.

  • I confirm that my contact information is current and agree to be contacted regarding the programs I am registering for.
  • I have read CNIB’s Participant Code of Conduct and understand that breaching it is grounds for immediate removal from CNIB programs.
  • I understand that all personal information in this registration will be regarded as confidential pursuant to the Freedom of Information and Protection of Privacy Act. Click here to learn more about CNIB’s Privacy Policy .

I have read, understood, and agree to the above declarations.

Virtual event experience

Connecting the Dots will be using an accessible virtual event platform called vFairs. For those of you who attended in 2020 it is the same platform with improved accessibility. To access this virtual platform, you will need a tablet, smartphone, or computer as well as an internet connection.

23. Sounds good, I will participate on vFairs

For those of you who don’t have access to the items listed above that are necessary to vFairs, we do have a call-in option. For this option you will need a phone, and some features will not be available to you

24. Perfect, I would like to call into the event and understand some even features such as the exhibitor hall will not be available to me.

Please reach out to connectingthedots@cnib.ca or call 1-800-563-2642

Ticket information

Please note, care givers do not need to pay for an additional pass. One pass is required per connection or household. If you will be in different ‘viewing’ locations, you will require passes for each connection.  This term is only for care givers and/or households not for organizations.  Sharing of credentials is not supported.   If you have questions, please contact CNIB. 

Early Bird Pricing <expires September 17th at midnight>

  • CNIB Participant with vision loss | $20
  • Care givers, CNIB Employee, CNIB Volunteer and Staff members of an NPO | $40
  • General Public | $60
25. Please Select Payment method. Paypal for all debit and credit transitions. You do not have to have a Paypal account to make a payment this way.

26. Registration Type

On the Cheque, make payable to:  “CNIB Foundation” and include on the back of the cheque your email address so we can confirm the registration back to you once payment is received by CNIB

Please send your cheque to:

CNIB

1929 Bayview Avenue

Toronto, ON

M4G 3E8

Attention:  Connecting the Dots Registration c/o April Assenza

 

If you have any questions, please e-mail connectingthedots@cnib.ca.

27. Registration Type - Cheque

26. Billing Information