Community organization

Registration form - Community organisation

** Please limit your registrations to 2 representatives from each organization to allow a for maximum of organizations to attend the Forum. **

** This excludes organisations that will lead a group of youth in presense. See tab "prices and registration instructions" for those who want to form a group of youth. **

I want to participate in the Youth Homelessness Prevention Forum from November 18-19, 2021 at the rate of:	$75.00 + taxes, Regular Rate, from October 15, 2021
Participant Information
Name:
Last Name:
Title:
Organization Name:
City:
Region:	Abitibi-Témiscamingue Bas-Saint-Laurent Capitale-Nationale Centre-du-Québec Chaudière-Appalaches Côte-Nord Estrie Gaspésie–Îles-de-la-Madeleine Lanaudière Laurentides Laval Mauricie Montérégie Montréal Nord-du-Québec Outaouais Saguenay–Lac-Saint-Jean
Email:
Phone (office):
Choice of Workshops
I want to participate to the workshops in English:	Yes     No
You will participate at 2 workshops during the Forum. For each one, please select your 1st, 2nd and 3rd choice of subject, among the 10 offered. This will allow us to identify the number of chat rooms to open.
Workshop 1 - Youth Homelessness Prevention Recommendations
1st choice:	1) Right to equality and non-discrimination - Racial and social 2) Right to equality and non-discrimination - Gender and sexual orientation 3) Right to social cohabitation and access to justice 4) Right to socialization and the right to citizenship 5) Right to education and to socio-professional integration 6) Right to self-determination and information 7) Right to housing and the right to a healthy and safe environment 8) Right to food and the right to a liveable income 9) Right to accessible and adapted physical and mental health care 10) Right to access to social services and adapted and accessible youth protection services
2nd choice:	1) Right to equality and non-discrimination - Racial and social 2) Right to equality and non-discrimination - Gender and sexual orientation 3) Right to social cohabitation and access to justice 4) Right to socialization and the right to citizenship 5) Right to education and to socio-professional integration 6) Right to self-determination and information 7) Right to housing and the right to a healthy and safe environment 8) Right to food and the right to a liveable income 9) Right to accessible and adapted physical and mental health care 10) Right to access to social services and adapted and accessible youth protection services
3rd choice:	1) Right to equality and non-discrimination - Racial and social 2) Right to equality and non-discrimination - Gender and sexual orientation 3) Right to social cohabitation and access to justice 4) Right to socialization and the right to citizenship 5) Right to education and to socio-professional integration 6) Right to self-determination and information 7) Right to housing and the right to a healthy and safe environment 8) Right to food and the right to a liveable income 9) Right to accessible and adapted physical and mental health care 10) Right to access to social services and adapted and accessible youth protection services
Workshop 2 - Concrete actions to prevent youth homelessness
1st choice:	1) Right to equality and non-discrimination - Racial and social 2) Right to equality and non-discrimination - Gender and sexual orientation 3) Right to social cohabitation and access to justice 4) Right to socialization and the right to citizenship 5) Right to education and to socio-professional integration 6) Right to self-determination and information 7) Right to housing and the right to a healthy and safe environment 8) Right to food and the right to a liveable income 9) Right to accessible and adapted physical and mental health care 10) Right to access to social services and adapted and accessible youth protection services
2nd choice:	1) Right to equality and non-discrimination - Racial and social 2) Right to equality and non-discrimination - Gender and sexual orientation 3) Right to social cohabitation and access to justice 4) Right to socialization and the right to citizenship 5) Right to education and to socio-professional integration 6) Right to self-determination and information 7) Right to housing and the right to a healthy and safe environment 8) Right to food and the right to a liveable income 9) Right to accessible and adapted physical and mental health care 10) Right to access to social services and adapted and accessible youth protection services
3rd choice:	1) Right to equality and non-discrimination - Racial and social 2) Right to equality and non-discrimination - Gender and sexual orientation 3) Right to social cohabitation and access to justice 4) Right to socialization and the right to citizenship 5) Right to education and to socio-professional integration 6) Right to self-determination and information 7) Right to housing and the right to a healthy and safe environment 8) Right to food and the right to a liveable income 9) Right to accessible and adapted physical and mental health care 10) Right to access to social services and adapted and accessible youth protection services

Submit and pay online