CNIB - Connecting the Dots

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CNIB | Connecting the Dots

October 12, 2022: Montreal – In-Person Exhibit Hall, Sessions & Networking

October 18, 2022: Virtual – French language Conference

October 20, 2022 : Toronto – In-Person Exhibit Hall & Networking

October 25, 2022: Virtual – English language Conference

October 27, 2022 : Calgary – In-Person Exhibit Hall & Networking

Last Name

WELCOME

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.

EARLY-BIRD EXPERIENCE BOX

The 2022 Connecting the Dots features an experience box packed with all sorts of goodies for the first 100 delegates to register by August 31^st, 2022. This box will be mailed to all applicable participants so be sure to carefully enter your mailing address!

FEES

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.

Email

Registration Form

Contact ID

Delegate Information

Phone Number

1. Title

2. First Name

3. Last Name

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

4. Company Name

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

Yes No Prefer Not to Say

6. Language Preferred Written

7. Language Preferred Spoken

English French Other

8. Email Address

9. Confirm Email Address

10. Preferred Email Type

Personal Work

11. Preferred Telephone

12. Preferred Phone Type

Home Work Mobile Other

13. Do you require ASL Interpretation?

Yes No

14. Mailing Address

Line 1 (Street Name)

Line 2 (Apartment Number)

City

Province

Postal Code

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

16. Short Bio

It will be visible to all conference delegates and exhibitors. (200 words)

Delegate Type

17. Permission to Share my email with other Delegates and Exhibitors:

Yes No

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

18a. Please specify

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

Yes No

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

Yes No

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

Yes No

22. Would you like to provide additional details on how we should communicate with you?

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.

Ticket information

Please note, care givers do not need to pay for an additional pass for the virtual events if living in the same household. 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 (Until Sept. 18th)

CNIB Participant with vision loss | $10
Caregivers, CNIB Employee, CNIB Volunteer and Staff members of an NPO | $25
General Public | $45

Regular Pricing (After Sept. 18^th)

Participant with vision loss | $20
Caregivers, CNIB Employee, CNIB Volunteer and Staff members of an NPO | $40
General Public | $60

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

Yes No

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.

Yes No

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. What Date will you be joining us for? We are assuming you are joining us for the Virtual Event, but we need to know if you are planning to join us as well for the 2022 In-Person elements. Your fee includes access to the Virtual as well as One of the In-Person session. Please select below:

English, In-Person - Toronto (October 20) English, In-Person - Calgary (October 27) French, In-Person - Montreal (October 12) Not Joining the In-Person session Virtual Only

24a. Please share any dietary restrictions you have so that the light refreshments can support your visit with us.

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.

Paypal (Credit and Debit Payment) Cheque

26. Registration Type

Participant with vision loss | $20 Caregivers, CNIB Employee, CNIB Volunteer and Staff members of an NPO | $40 General Public | $60

27. Registration Type - Cheque

CNIB Participant with vision loss | $20 Caregivers, CNIB Employee, CNIB Volunteer and Staff members of an NPO | $40 General Public | $60

28. Billing Information

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.

Billing Address Line 1 (Street Name)

Billing Address Line 2 (Apartment Number)

Billing Address City

Billing Address Province

Billing Address Postal Code

Promo Code

A

Alert

Register

Delegate Information

14. Mailing Address

Delegate Type

Declaration and Submission

Ticket information

Virtual event experience

28. Billing Information