Pride x IHM Book Club (2025) - Registration Form

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Street Address Address Line 2 City Province Postal Code

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Which of the following demographics do you identify with? Select all that apply.*

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Which Indigenous group do you identify with? Select all that apply (This is a self-identification question, you do not need to have Indian Status or be recognized by the government)*

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Book Format & Delivery

What format do you want the book club read in? It is only available in 3 formats (Please select one option)*

Ebook (Kindle)
Ebook (Kobo)
Physical copy of the book

What is your mailing address to receive the book?*

Street Address Address Line 2 City Province Postal Code

Email (Kobo)*

Email (Kindle)*

Thank you!

Are you interested in attending the Author Talk with Elder Albert McLeod on June 3, 2025 at 5 pm ET on Zoom?*

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Consent*

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Thank you for participating in this online survey to assess the reach of our activities. IYR will share the results of this survey in a highly aggregated report (no unique identification) to our program funder.
Your participation in this survey is voluntary. You may refuse to take part in this survey, skip questions or exit the survey at any time without penalty.
You will receive no benefits from participating in this online survey, but your responses will help us improve the program. There are no foreseeable risks involved in participating in this online survey..
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You may print a copy of this consent for your records. Clicking on the “Agree” button indicates that: You have read the above statement; You voluntarily agree to participate.

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Pride x IHM Book Club (2025) – Registration Form

Book Format & Delivery

Thank you!