First Name*
 
 
 
 
Last Name*
 
 
 
 
Email*
 
 
 
 
Number of Adults*
 
 
 
 
Number of Children*
 
 
 
 
City*
 
 
 
 
Province*
 
 
 
 
Do you have any accessibility needs that we should know about?
 
 
 
 
I understand this is a waitlist only*
 
 
 
 
I agree to receive updates about KPU Science Rendezvous*
 
 
 
 
I agree to receive communication from Kwantlen Polytechnic University*
 
 
 
 
 
 
 
 
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 KPU Science Rendezvous. If you have any questions about the processing of your Personal Information, please contact the KPU Faculty of Science at fsh.events@kpu.ca.