Name: Free Registration Product
SKU: FRP-2017
Availability: InStock

Instructions

Fill out the form below, then Add to Cart. The next screen will allow you to Place Order. You will then see an Order Received page and your registration is complete.

Participant Details

Name of participant*

First Last

Email*

Accommodation Request

What accommodations do you need? If you have an accessibility concern or would like to request accommodation, please leave a comment or contact AEACpa@queensu.ca directly. We will respond to every request. Please submit comments and requests at least two weeks prior to the event.

Please email me about future programs and events

How did you hear about the Agnes program?

Agnes website
Email from the Agnes
Facebook
Twitter
Instagram
Other

Other (please specify)*

Spam Protection

Registration Total

Product Name

Name

This field is for validation purposes and should be left unchanged.

Visit

Explore

Participate

Connect

Digital Agnes

Free Registration Product

Instructions

Participant Details

Registration Total

Pages

Archives

Categories