Francophonie Event Registration Form

Francophonie Event Registration Form

Event Details

Event Name:

Event Date:    Location:

Hosting Organization:

Participant Information

Date of Birth:    Student/ID Number:

Nationality:    Primary Language:

Beginner    Intermediate    Advanced    Native speaker

Parent / Guardian Information (if participant is under 18)

Registrant is under 18 years old:

Relationship to Participant:    Phone:

Emergency & Medical Information

Relationship:    Phone:

Has allergies or requires special accommodations:

Program Selection & Preferences

Select program components (select all that apply):

Workshop sessions    Cultural performances    Competition / Contest    Language exchange    Other

Fees, Payment & Cancellation

Participation Fee (if any):

Cash    Check    Card (in-person)    Invoice

Refund and cancellation: I acknowledge that refunds will be processed in accordance with the event's published refund policy. Late cancellations may be ineligible for refund and may incur administrative fees. By signing below I accept responsibility for outstanding fees incurred on my behalf.

Consent, Liability & Acknowledgments

By signing this form I certify that the information provided is true and complete to the best of my knowledge. I authorize event staff to obtain emergency medical treatment for the participant if necessary and agree to be financially responsible for such treatment. I release the event organizers, affiliated institutions, and their representatives from liability for injury, loss, or damage arising from participation, except in cases of gross negligence or willful misconduct by the organizers.

Code of Conduct: I will follow event rules, respect cultural and linguistic diversity, and abide by instructions from event staff. Serious violations (including harassment or illegal activity) may result in immediate dismissal from the event without refund.

I authorize the event organizers to photograph and record the participant for educational and promotional purposes. I understand that images and recordings may be used in printed materials, internal publications, and promotional materials controlled by the organizers. Consent to media use:    Decline media use:

I understand that the personal information collected on this form will be used for event administration, emergency contact, and communication related to the event. Personal data will be stored securely and retained only as necessary for these purposes.

Additional Information

Certification and Signature

I, the undersigned, acknowledge that I have read and understand the statements, terms, and policies contained in this registration. I affirm that I am authorized to provide any consents on this form for the participant. If the participant is a minor, I certify that I am the parent or legal guardian and have authority to sign.

Sign Now