International Society for the Study of Self-Injury (2024) Conference Registration Form

International Society for the Study of Self-Injury (2024) Conference Registration Form

June 26-28, 2024 - Toronto, ON (at the University of Toronto, OISE) Conference Activities will take place June 27th and the 28th, with pre-conference activities taking place on June 26th.
Full Name (please note we will use this for your nametag at the event)*

First NameLast Name
Contact Number

Country CodeArea CodePhone Number
Email Address*
example@example.com
City
State/Province
Country
Please indicate your pronouns:

She/HerHe/HimThey/ThemI would rather not discloseI use different Pronouns
If you selected "I use different Pronouns", please indicate below:
Place of Employment/Study (please indicate the institution or organization name):
Position:
How did you hear about this conference?

Word of Mouth/Friend/ColleagueEmailISSS Event OrganizerSocial Media (Instagram, Twitter, Facebook)Other
Would you like to join for an informal social dinner on Thursday, June 27th after the conference activities?*

No thank youYes, please include me in the reservationYes, and please include me and my guests in the reservation
If you are bringing guests, please include how many guests you will be bringing including yourself:
Do you have any dietary restrictions (ie. vegan, gluten free)? If so, please indicate.
Do you require any accessibility accommodations?
Do you have any comments/questions for the event organizer?

Registration Fees (please note fees are in Canadian dollars):*

Professional Member

$300.00CAD

Student Member

$175.00CAD

Professional (non-member)

$400.00CAD

Student (non-member)

$250.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD