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MOVE YOUR WORLD Youth Symposium Application 2010

Conference Date: October 29-31, 2010
Broadleaf Ranch, New Brunswick

We will contact you before the last week of September to confirm registration information (bursaries, dietary needs, special needs etc.) Move Your World is an inclusive event that promotes social justice, we seek to address and challenge sexism, racism, homophobia and transphobia in our communities and at this event. Move Your World does not permit recreational alcohol or drug use at our Symposium.

Contact Rena Kulczycki - admin@acic-caci.org for more information.

Presented by the The Canadian Red Cross and the Atlantic Council for International Cooperation: 902-431-2311 www.acic-caci.org

Name First Last
Preferred Name, Gender, Birthdate,
Preferred Language, Special Needs / Dietary Needs
Email
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number ### - ### - ####
What issues are important to you locally and globally?
How are you involved in your own community?
Move Your World participants are invited to share their experiences and ideas about change in their communities.
What do you want to learn about?
What do you want other youth to be aware of?
- Registration and Travel Costs -

Cheques can be mailed to:
ACIC
210-2099 Gottingen Street
Halifax, NS, Canada, B3K 3B2ACIC

Conference Registration Fees are due by October 15th 2010.

Move Your World requests a minimum registration fee of $50.00, which reflects a subsidized rate. Actual conference costs are in excess of $270.00 per participant. We encourage all youth and families who can afford a larger donation, to please do so.

We will contact you to confirm registration and payment, as well as support you in your fundraising efforts. Fundraising letters and tips are available on the Move Your World webpage.

I can cover the costs myself I will fundraise to cover my travel and registration costs I can pay for registration ($50) but need help with travel costs I need help with all costs
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