YEIP Membership Registration
Your contact information will be held confidential and will not be passed to any third parties
*
indicates required
Name:
Email:
Comment:
Email Address
*
First Name
Last Name
Membership Type
*
Regular
Student
City
Job Function
*
Organization (e.g., TC Energy, UofC)
Do you self-identify as an Indigenous person?
No
Yes
Prefer not to say
What gender do you identify as?
Female
Male
Other
Prefer not to say