Alumni Weekend 2017
Alumni Weekend 2017
Main registrant » Your Guest(s) » Your Selections » Billing » Review » Finish

Online registration for paid events is restricted to credit card payments only. Visa, MasterCard and American Express are accepted.

Please note that we cannot process your registration until payment is received. Payments may be made by personal cheque or money order in Canadian funds only and must be made payable to: University of Alberta. If you would like to pay by cheque or money order, please call 780-248-1161 to register.

Your preferred contact information will be updated using the information provided on this form.

About You - À Propos
First Name - Prénom:
required
Last Name - Nom de famille:
required
Preferred Email - Courriel préféré:
Preferred name for name tag if different from above - Nom préféré sur l'étiquette si différent du nom précédent:
Maiden Name (optional) - Deuxième nom (optionnel):


We publish a list of all registered attendees and their guest(s) on our website. If you do not want your name to appear on this list, you may opt out by checking the box below.

Nous publions une liste de tous les participants inscrits et leurs invités sur notre site. Si vous ne souhaitez pas que votre nom apparaisse sur cette liste, vous pouvez le désactiver en cochant la case ci-dessous.

 

Please do not show name on the attendee list - Veuillez ne pas publier mon nom sur la liste des invités:
Dietary Restrictions - Restrictions alimentaires:
Mobility Restrictions - Restrictions de mobilité:

If you plan to attend the Golden Grads Dinner, please indicate the names of other registrants you would like to be seated with. Do not include guests you have registered.
Seating preference:
Contact Details - Coordonnées
Phone Number - Numéro de téléphone:
required
Address - Adresse:
required
City - Ville:
required
Province/State - Province / État:
required
Postal Code/Zip - Code postal / Zip Code:
required
Country - Pays:
required
UAlberta Alumni - Ancien(nes) de UAlberta / Campus Saint-Jean

Please provide your UAlberta degree information. This information may appear on name tags.

Veuillez fournir l'information sur votre diplômation. Cette information peut apparaître sur votre étiquette.

No U of A degree held - Non diplômation à l'UofA obtenu:
Degree 1 - Diplôme 1:
Degree 1 Year - Année d'obtention:
Degree 2 - Diplôme 2:
Degree 2 Year - Année d'obtention:
Degree 3 - Diplôme 3:
Degree 3 Year - Année d'obtention:
Additional Degree(s) Information - Informations additionnelles sur vos diplômation:

 

 You will have the option to add guests to your registration on the next page.


Protection of Privacy - The personal information requested on the following form is collected under the authority of Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act for the purpose of updating and maintaining alumni/donor records. The information will be used for the purpose of alumni engagement and philanthropic activities. Questions concerning the collection, use or disposal of this information should be directed to: FOIPP Liaison Officer, Office of Advancement, University of Alberta, 3-501 Enterprise Square, 10230 Jasper Avenue, Edmonton, AB, T5J 4P6, ph: (780) 492-7400. See our privacy policy here.

Neither the University of Alberta nor iModules sells any personal information that it collects.