SPEAKERS - 2025 CONFERENCE REGISTRATION Name * First Name Last Name Preferred Pronoun Job Title * Organization * Email * Phone - Direct * (###) ### #### Phone - Mobile (###) ### #### Do you consent to your name and organization being shared with other conference attendees? * Yes No By attending the event, you acknowledge that the National GC Network (NGCN) may photograph and/or record you. Do you consent to the NGCN's use of any photograph or recording, in whole or in part, for promotional purposes (such as on the NGCN website or on social media) without further notice or compensation to you? * Yes No Which meals will be you be attending? * Light Breakfast (8:45-9:15am) at Limberlost Place (185 Queens Quay East) Lunch (12:00-1:00pm) at Limberlost Place (185 Queens Quay East) Reception (5:45-7:00pm) at Laylak (25 Toronto St.) Dinner (7:00-9:00pm) at Laylak (25 Toronto St.) None Specify food allergies/restrictions Thank you for submitting the form for the 2025 conference! We look forward to seeing you soon!