Personal Information - 2017 Grey Matters Conference

The personal information collected in this form is collected under s. 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act and will only be used and disclosed for training and registration purposes, to share information regarding programs and services, and for other reasonably related administrative purposes in accordance with the FOIP Act.

I hereby give permission to the Government of Alberta to use my material (photograph, video, name or quotation) without any compensation to me. I understand this material may be used in communication and materials about Government of Alberta programs and services and they may be distributed to the public through a variety of means, including printed and electronic communications.

All government communications where this material will appear shall constitute the property of the Government of Alberta, solely and completely. I waive all moral rights, claims, and objections arising from the use of this material, worldwide and in perpetuity, in favour of the Government of Alberta, its agents, employees, and contractors.

If I have questions regarding the collection or the use of my information, I can contact the communications director with Alberta Seniors and Housing by phone at, 780-644-5678, or by mail at 44 Capital Blvd, Third Floor, Edmonton, AB T5J 3S7.