Video Conference Participants Registration Form

Please complete all of the information below to register for UBC Learning Circle, Research Circle, or Youth Circle.

For Video Conference Registrants:
Video conference equipment is required in order to participate in this format. If you have any questions, do not hesitate to call us: 604.822.2886 or 604.827.5454 PLEASE NOTE: a laptop is not a form of video conference equipment, head to Tech Requirements for further information.
For Webinar Registrants:
Please go to the specific page for the session you are registering for and register directly with Zoom. This registration form is exclusively for video conference registrants.
Name*
First Last
Email Address*
Phone*
IP Address*

If you do not have an IP Address, please contact learning.circle@ubc.ca for further assistance
Site/Organization Name*
Room Number/or Name:*

ie., Library, Boardroom, Conference Room, or room number etc.
Alternate Contact
Alternate Contact Phone Number
Number of Participants
Session(s) you would like to register for (You may select more than one session):*
- April 28th - Gathering our Medicine with Denise Findlay
Name
This field is for validation purposes and should be left unchanged.

For Video Conference Registrants: