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Respect

TRUTH & RECONCILIATION COMMISSION OF CANADA NATIONAL EVENT
THE FORKS, WINNIPEG, MANITOBA • JUNE 16 TO 19, 2010

RESIDENTIAL SCHOOL SURVIVOR REGISTRATION FORMThe Truth & Reconciliation Commission is asking all former residential school students to register by completing this form.

All registered former students will be given special identifcation and will be provided one (1) meal for each of the following days: June 16, 17, and 18th.

*There is NO REGISTRATION FEE to attend the National Event. We are inviting and encouraging you to register! Participants must cover their own expenses for travel and accommodations.*


Please check below any or all days you will be attending:

June 16, 2010
June 17, 2010
June 18, 2010
June 19, 2010

The Truth and Reconciliation Commission will have statement gatherers present to record the statements of those who wish to to share their Residential School experiences with the TRC.

STATEMENT GATHERING AT THE NATIONAL EVENTThis process is completely voluntary and you are free to tell the TRC statement gatherers about any aspect before, during or afer Residential School that you wish. You are welcome to bring someone to the recording with you.

You may also wish to access the services of a Health Support Worker. Health support workers provide emotional support, cultural support and professional counseling. If you wish to speak to a Health Support worker prior to the National Event please call the Health Canada Manitoba Region phone line at 1-866-818-3505. This number will connect you with a health support worker in your local area (make sure this includes NW Ontario). These workers will be in attendance at the National Event and will be available to help throughout the entire event.

We also encourage you to bring any photographs, documents or other materials that you wish to share with the TRC. The TRC will scan or copy your documents and return them to you.

If having your experience recorded is something that you wish to do, please check any boxes that apply below

Are you interested in having your Residential School experience recorded?
Yes
No

Have you shared your personal experiences about residential school in the past?
Yes
No

Do you plan to bring:
Documents
Recordings
Photographs

Would you prefer to have your statement to the TRC:
Audio recorded
Video recorded
Written
No recording

If you have special needs such as medical, hearing, access, dietary or other please
indicate here:


Travel & Lodging Accommodations:
Please visit www.destinationwinnipeg.ca for travel and lodging information or call 
1 800 665 0201.
The Truth and Reconciliation Commission will not provide accommodations or travel expenses.

Registration:
• Onsite registration will be available
• By fax: (204) 984-5915
• By mail to: Truth & Reconciliation Commission of Canada
1500 (15th Floor) – 360 Main Street
Winnipeg, Manitoba R3C 3Z3

For More Information, Please Call:
1 888 872 5554 and quote the “NATIONAL EVENT

YOUR ASSUMPTION OF RISK
The Winnipeg National Event is an outdoor event at The Forks and Parks Canada so please dress appropriately (i.e. wear proper footwear, use sunscreen , bring a hat and be prepared for all kinds of weather) Participating in an outdoor event can present dangers and please be mindful of the outdoor space and any potential risk .
You agree to voluntarily assume all risks of bodily injury.

You also assume all risks for loss or damage to your personal possessions.

You release The Forks and Parks Canada, its employees, the Truth and Reconciliation Commission and its Commissioners, employees and contractors from any claims and liability whatsoever in connection with any injury or personal harm you may sufer, as well as in respect of any loss or damage to your personal possessions you may incur, in preparation for, during, or afer the Event.

You also indemnify The Forks and Parks Canada, its employees, the TRC and its Commissioners, employees and contractors from all losses, damages and claims made by a third party which arises in whole or in part from any your acts or omissions while in preparation for, during, or after the Event.