First Name*
 
 
 
 
Last Name*
 
 
 
 
Email*
 
 
 
 
Phone Number
 
 
 
 
City*
 
 
 
 
Province*
 
 
 
 
I am a:*
 
 
 
How did you hear about this workshop?*
 
 
 
 
 
 
 
 
*Program of Interest
 
 
 
 
Faculty
 
 
 
 
Active Contact Type
 
 
 
 
Kwantlen Polytechnic University (“KPU”) collects your Personal Information in accordance with section 26 of the Freedom of Information and Protection of Privacy Act (“FIPPA”), R.S.B.C. 1996, c.165 for the purposes of registering and administering your participation in a workshop. If you have any questions about the processing of your Personal Information, please contact KPU Brewing Department at brew@kpu.ca.