First Name (required)
Last Name (required)
Please enter your name as you would prefer it to appear on your name badge. (If different from above.)
Your position/title with the business/organization you will be attending with.
Your Email (required)
Your Shirt Size (required)
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Business/Organization Name (required)
City Business/Organization Serves (required)
If your attendance at the 2017 CAPI AGM & Conference has been sponsored, please complete the following. Otherwise please skip this section.
Relation/Affiliation to Sponsor
If you have any special requests for meals included with your registration please select from the options listed (Required, check all that apply)
If you have any food allergies, please note them below.
Do you require wheelchair accessibility?
Please note any other accessibility related needs below.
Roommate Matching: Are you looking for another attendee to room with?
Do you plan to stay at the Gold Coast (Host Hotel)?
How many CAPI Conferences have you previously attended? (Required)
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What type of workshops would you like to see offered at CAPI 2017?
Would you be willing to lead/present a CAPI 2017 Workshop?
Is your business/organization a member of InterPride?
If your business/organization is a member of InterPride, please select your region.
Non-MemberRegion 1Region 2Region 3
May we share your information with InterPride?