Indigenous Framework - World Cafe (Forms) - Calgary Alliance for the Common Good

As this event is being assisted by an academic, we require that each person affirm their consent in their participation for this gathering. Please review the below .pdf and select both check boxes at the bottom of this page.

Please click all four check boxes at the bottom of this page once you have reviewed the above two documents.

First Name

Last Name

Mobile phone

Organization

Send me email updates

I consent to have photographs taken of me during the World Cafe for use in the final report, conference presentations. Photographs will not identify individuals with specific comments.

I consent to quotations and excerpts expressed by me through the World Café be included in this study, provided that my identity is not disclosed.

I consent to the material I have contributed to and/or generated (e.g., flipchart notes, table notes, etc.) through my participation in the World Café be used in this study.

I commit to respect the confidential nature of the World Café by not sharing identifying information about the other participants.