University of Western OntarioConference RegistrationUWAC 2020 Registration - University of Western Ontario (Early Bird) Step 1 of 520%Personal InformationName* First Last Preferred NameIf different than first nameEmail* Gender*MaleFemaleDate of Birth* MM DD YYYYContact InformationPrimary Phone Number*Secondary Phone NumberAddress* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Safety and Security InformationEmergency Contact's Name* First Last Emergency Contact's Phone Number*Allergies/Dietary RestrictionsLeave blank if noneUniversity InformationUniversity*Bishop's UniversityBrock UniversityCarleton UniversityConcordia UniversityDalhousie UniversityHEC MontrealLakehead UniversityMcGill UniversityMcMaster UniversityMount Allison UniversityNipissing UniversityQueen's UniversityRyerson UniversitySimon Fraser UniversityTrent UniversityUniversity of AlbertaUniversity of British ColumbiaUniversity of CalgaryUniversity of GuelphUniversity of ManitobaUniversity of Ontario Institute of TechnologyUniversity of OttawaUniversity of SaskatchewanUniversity of Toronto - MississaugaUniversity of Toronto - ScarboroughUniversity of Toronto - St. GeorgeUniversity of VictoriaUniversity of WaterlooUniversity of Western OntarioUniversity of WindsorWilfrid Laurier UniversityYork UniversityOtherProgram/Faculty*Academic Year*1st year2nd Year3rd Year4th YearOtherStudent ID Number*Please note that you will be required to present your Student ID at the conferenceAre you a CPA PSAP member?*YesNoPlease click here to learn more about CPA PSAPTeam Member Selection (optional)As a delegate you can select up to three students to create a team of four. Please note that any unfilled spots will be randomly assigned.If you do not have a team that you want to be in, we will gladly pair you up with someone else. If you would like to select your team member(s), please enter their name below. Please note that in some circumstances you may not get your requested team.Team Member's Full Name First Last First Last First Last Roommate Selection (optional)As a delegate you can select one roommate, of the same gender, that you would like to room with. Two pairs of roommates will be grouped together so that delegates have the opportunity to meet one another. Keep in mind that you do not need to select a roommate – you’ll get to meet more people!If you do not have someone you want to room with, we will gladly pair you up with someone else. If you would like to select a roommate, please enter their name below. Please note that in some circumstances you may not get your requested roommate.Roommate's Full Name First Last Photography Consent and Room WaiverI give full permission for the University of Waterloo Accounting Conference the irrevocable right to use my picture, portrait or photograph in all forms, media and manners, without restriction as to changes or alterations, for advertising, trade, promotion, exhibition, or any other lawful purposes. I waive any right to inspect or approve the photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photographs. I am at least 18 years of age and am competent to accept the terms of this release.I agree to the terms of this consent:*YesNoRoom Waiver* I acknowledge that the University of Waterloo Accounting Conference will not be responsible for any damages, fines, and/or ancillary fees associated with my hotel room. Should any of the aforementioned costs occur, I will be fully responsible for them. I am competent to accept this release.Privacy Policy* I have read and agree to the terms of the privacy policyUWAC TicketUWAC Ticket* Price: $ 280.00 CAD ** Warning ** Ensure you are prepared to pay before proceeding to Paypal for payment. If the browser is closed, you will be unable to re-access the payment page. In the event this happens, please contact us at info@uwac.ca. Thank you for your cooperation.Complete your PaymentPlease use the link below to proceed with the paymenthttps://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=SJ5CBFJ2R2UEAHave you completed the payment?*Yes, I have completed the payment. If you have not yet completed your payment please do so now through the link above.