Create & Connect Volunteer Recruitment Session

Please be aware of our registration/cancellation policy before signing up.

Your Registration Details

First Name *

Last Name *

Email Address *

Phone

Country *

Province *

Street Address *

City *

Postal Code *

I hereby authorize any images of the registered participant and any media material created by the registered participant during Kitchener-Waterloo Art Gallery programs to be displayed on the Kitchener-Waterloo Art Gallery Website and social media platforms, and to be used for external media purposes including marketing campaigns and promoting our recreational programs. (For participants under legal age - guardians must agree or decline permissions)

Photo Permission *

Event Fee(s) *

Everlasting Bouquets - $ 40.00

Total

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Please be aware of our registration/cancellation policy before signing up.

Event Registration Details Please complete all fields marked with an asterix

Newsletter sign-up

Yes

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Select this option to receive KWAG Weekly e-newsletter for information on future programs and events. If you are already a KWAG Weekly subscriber, leave this field blank to keep your subscription status. You may unsubscribe from our mailing list at any time by clicking the unsubscribe link at the bottom of our emails.