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Culture Jam R.S.V.P form

Let’s collaborate and cross-pollinate on Burlington’s Arts and Culture scene!  This is your chance to join the conversation between organizations and artists working in different disciplines.  


We’re hosting three sessions.  Please choose the session that works best for you.  Let us know if you have flexibility to attend different sessions so that we may accommodate as many people as possible.


This registration form collects personal information under the authority of subsection 10(1) of the Municipal Act, 2001, S.O. 2001, c.25 and disclosure of responses will be governed by the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M.56.  Information collected will be used for registration purposes for the upcoming Culture Jam workshops. 

For questions regarding the collection, use and disclosure of this information, please contact Kim Ingram, Senior Manager, Events and Creative Programs, Recreation, Community and Culture, City of Burlington, 426 Brant Street, PO Box 5013, Burlington, ON L7R 3Z6,  kim.ingram@burlington.ca, 905-335-7600 ext. 7352. The registration form is available in print, alternative formats or with communication support by contacting getinvolved@burlington.ca

1.  

By checking the box below, I hereby authorize and agree that The Corporation of the City of Burlington may collect and use the personal information that I have provided for the purposes stated above.

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5.  

I would like to attend the following session.  Please indicate your first, second and third choice.

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6.  

What part of Burlington’s arts and culture community do you represent? (select all that apply) 

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