York Circle Lecture Series on May 11, 2024

Registrant

Information about your guest will be collected in the next step.

Please note your preferred contact information will be updated based on the information provided on this form.

First Name:

•

Last Name:

•

Preferred Email:

•

Registration Fee:

•

Please identify your relationship with York:

Please identify your relationship with York: Alumni
Student
Staff/Faculty
Guest

YorkU Alumni

Preferred Faculty:

Preferred Class Year:

Event Details

Are you a York Circle member?

Are you a York Circle member? Yes
No

How did you hear about this event?

Dietary Restrictions:

Accessibility Requirements:

Update your contact information (optional)

Address Type:

Address Type: Home
Business

Address 1:

Address 2:

City:

Province:

Country:

Mobile Number:

•