Please complete and submit the form below to apply to participate in the BIPOC Community Gathering. Meals and accommodations are provided. Your Name: (required) Your Email: (required) Your Home Address including your city: Province: (required) Phone #: Age: Pronouns by which you self-identify: (optional) Why would you like to participate in this gathering? What do you hope to experience?: Please describe your work (paid or otherwise) in your community: This program is dedicated to creating a space for Black, Indigenous, and people of colour to learn together. Please share with us how you identify with one or more of these broad categories. Is there anything else you would like us to know?: The program will include space for participants to share and learn more about each other. What skills, knowledge, or experience would you like to share with the group?: You are invited to pay what you are able. The cost per person for this gathering is $479 per person. This includes meals and a shared room onsite at Tatamagouche Centre. (If you require a private room the cost is $50 more: $529). The more you are able to contribute, the more people we are able to support. How much are you able to contribute?: Thank you for applying! We will get in touch with you following the application deadline. You will be asked to pay your named contribution to hold your spot in the program.