New Registration Form Name Having reviewed and agreed to the "Guiding Principles", I wish to join a group. First Name * Last Name * Email * Phone * Cultural Identity First Nation Inuit Métis Non-Indigenous We ask this question to ensure balance between Indigenous and non-Indigenous participants in each Circle. Facilitator Training I would also like to be trained as a facilitator of a group. Organizer I would also like to be trained as an organizer of an area. Your Availability to Participate in a Circle Please check all that apply Monday Tuesday Wednesday Thursday Friday Saturday Sunday Start Times Morning (10 am) Afternoon (1 pm) Evening ( starts between 5-7 pm) Month Available Please indicate when you can start. Your location Please let us know your location to route your registration to the correct people. We have identified regions that have active or just forming Circles. New interest in Circle formation is being expressed continually and we will add specific locations as available. If your exact community is not mentioned, just check your province. Then provide the name of your community in the "Neighbourhood" box below. Eastern Canada Quebec New Brunswick Nova Scotia Prince Edward Island Newfoundland Ontario Toronto London Sioux Lookout/Dryden Thunder Bay Ontario Manitoba Winnipeg Altona/Roseau River First Nation Brandon Neepawa/Rolling River Anishinabe First Nation Selkirk Steinbach/Roseau River First Nation Manitoba West of Manitoba Saskatchewan Regina Alberta British Columbia Victoria Canada Wide I would like to participate in a French language Circle. This option is available because our materials are being translated by volunteers. Neighbourhood Please indicate your local neighbourhood in the field above if you would prefer to participate in a specific area and would like us to prioritize your placement in a Circle closest to your preferences. You will be informed as soon as 10 participants register for a given time and location. If you are registering as part of a specific group (e.g. faith group, organization, school) please provide the name in the box below. If the location in the city for a Circle matters to you, please let us know. Please feel free to add any other suggestions or comments. Comments Email Consent I agree to be contacted by email. Required so we can inform you with our mailings (you may unsubscribe at any time). Policy StatementAll our mailings are related specifically to the advancement of reconciliation in Canada. Thank you for your registration!