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Galeries Ontario / Ontario Galleries - Workshop Registration Form

PROFESSIONAL DEVELOPMENT WORKSHOP

DIGITAL ART PRACTICES FOR GALLERIES AND MUSEUMS

Wednesday, May 31st

9:30am to 5pm
The Textile Museum
55 Centre Ave, Toronto

Send completed form by email with subject line - ATTN: DIGITAL ART PRACTICES REGISTRATION - to
members@galeries-ontario-galleries.ca

Registrant Information
(Information marked with an asterisk (*) in the “Registrant Information” section will be shared with program
registrants. All other information will be used for GOG program purposes.)

Name*: ____________________________________ City*:______________________________________

Title*: _____________________________________ Email: _____________________________________

Organization*: ______________________________ Phone: ____________________________________

Billing Information
The money we receive from our programming allows us to support art galleries in a meaningful way through
events, workshops, resources, and other opportunities. Please provide the following information.

Street: _____________________________________ Suite/Apt #:_________________________________

City: ______________________________________ Province: ___________________________________

Postal Code: _______________________________

Ontario Association of Art Galleries / Association Ontarienne des Galeries d’Art

Operating as Galeries Ontario / Ontario Galleries

401 Richmond Street West, Suite 395 • Toronto • Ontario • M5V 3A8
(416) 598 0714 • www.galeries-ontario-galleries.ca Charitable business number 10779 6690 RR0001
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Payment Options

Please indicate fee amount for single workshop

Non-Member/General $275.00
GOG Member $175.00
Artists / Independent Art worker $55.00
Student with valid student ID $45.00

Cheque
Please make cheque payable to the Ontario Association of Art Galleries and mail to:
Ontario Association of Art Galleries (OAAG)
401 Richmond Street West, Suite 395
Toronto, ON M5V 3A8
Visa
Mastercard

__________________________________________________________
Cardholder Name

______________________________________________________ ______________________________
Card Number Expiry

Galeries Ontario / Ontario Galleries (GOG) has a 50-year history as an arts service organization (ASO) which
represents over 260 members—public art galleries, museums, artist-run-centres, and arts organizations. Over 40
years, its annual award program has been defining the standards of excellence for the visual arts in Canada.
Through advocacy on issues, policy, legislation to all levels of government, and delivery of innovative and
cutting-edge professional development opportunities and network-building, GOG advances, empowers, and
strengthens the visual arts sector in Canada. If you would like to support GOG, you can make a donation HERE.

Other GOG Communications

❏ Yes, I am interested in signing up for GOG’s Program E-Newsletters for notices about GOG Programs, News
and Jobline.

Ontario Association of Art Galleries / Association Ontarienne des Galeries d’Art

Operating as Galeries Ontario / Ontario Galleries

401 Richmond Street West, Suite 395 • Toronto • Ontario • M5V 3A8
(416) 598 0714 • www.galeries-ontario-galleries.ca Charitable business number 10779 6690 RR0001
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Accessibility
GOG is committed to making accessible experiences for all attendees at our meetings, events and programs. In
adherence with the Accessibility for Ontarians with Disabilities Act (AODA), it is GOG’s policy to host events where
physical barriers do not exclude people with disabilities from attending or participating. If you require specific
accommodations or accessibility services to facilitate participation please indicate your needs in the box below no
later than Wednesday, May 17, 2023. We cannot guarantee that late requests will be accommodated.

Please describe any specific limitations you have and suggest an accommodation. GOG will strive to make the
appropriate arrangements. Do you have an accessibility requirement?

Recognition of Session Recording

Please check the boxes below to indicate your understanding. This section must be completed to participate in
the GOG Professional Development Workshop:

❏ I understand that all presentations and programming will be recorded and hereby grant consent to GOG to
disseminate this material and other identifiable information.

Please sign to acknowledge:

___________________________________________ ___________________________________________
Name of Registrant Title

___________________________________________ ___________________________________________
Signature Organization

___________________________________________
Date

Ontario Association of Art Galleries / Association Ontarienne des Galeries d’Art

Operating as Galeries Ontario / Ontario Galleries

401 Richmond Street West, Suite 395 • Toronto • Ontario • M5V 3A8
(416) 598 0714 • www.galeries-ontario-galleries.ca Charitable business number 10779 6690 RR0001
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Dietary Restrictions Request Form

Please fill out the following form only if you have any dietary restrictions.

Emergency Contact Information:

Name: __________________________________________________
Relationship: _____________________________________________
Phone: __________________________________________________

Dietary Restrictions:

☐ Milk/ Dairy
☐ Egg
☐ Soy
☐ Wheat
☐ Peanut
☐ Tree Nut
☐ Fish
☐ Shellfish
☐ Gluten
☐ Vegetarian
☐ Vegan
☐ Other : __________________________________________________________________

Please check the boxes below to indicate your understanding. If boxes are not checked, this request form will be
deemed invalid:

☐ I understand that Galeries Ontario / Ontario Galleries (GOG) makes every attempt to identify food(s) and
ingredient(s) that may cause an allergic reaction to those with food allergies and/or accommodate those
with specific dietary restrictions.

☐ I understand that while GOG will take every reasonable precaution in an effort to accommodate my
request(s), it is impossible for GOG to provide any guarantee that I will not come into contact with my
listed allergen(s) and/or dietary restriction(s) during this event.

Ontario Association of Art Galleries / Association Ontarienne des Galeries d’Art

Operating as Galeries Ontario / Ontario Galleries

401 Richmond Street West, Suite 395 • Toronto • Ontario • M5V 3A8
(416) 598 0714 • www.galeries-ontario-galleries.ca Charitable business number 10779 6690 RR0001