Status Retreat - Fri May 29 (eve) and Sat May 30

First Name

Last Name

School / Worksite

Non-Board Email

ETFO Number

OCT Number

PDSB Employee Number

Mobile Phone Number

Is this your 1st (first) time attending a PETL event?

How many years have you been a PETL member (Permanent Hire with the PDSB)?

Payment and Acknowledgements (CHECK ONE)

I will pay $170 by E-Transfer for Double Occupancy Hotel and Registration indicating RETREAT DOUBLE in the message and sending payment by 4 PM on Mon May 4 (I understand my payment is non-refundable) I will pay $170 ONLINE with a credit card in the PETL Shop [etfopeel.com/shop] for Double Occupancy Hotel and Registration by 4 PM on Mon May 4 (I understand my payment is non-refundable) I will pay $300 by E-TRANSFER for Single Occupancy Hotel and Registration indicating RETREAT SINGLE in the message and sending payment by 4 PM on Mon May 4 (I understand my payment is non-refundable) I will pay $300 ONLINE with a credit card in the PETL Shop [etfopeel.com/shop] for Single Occupancy Hotel and Registration y 4 PM on Mon May 4 (I understand my payment is non-refundable)

Double Occupancy – Roommates will be paired at random. If you and a coworker have agreed to room together, you must both indicate each other by writing each other’s FIRST AND LAST NAME and WORK LOCATION in the space below at registration. Roommate requests made afterward cannot be honoured due to the venues deadlines.

Are you intending to book the Saturday night at your own expense?

Yes – I will send my confirmation number to Status@etfopeel.com so PETL can secure the same room for me when they book my Friday night stay. No – I am only staying Friday night – I understand PETL will book my room for me.

Bus Return Ticket Opt-In

YES – I will be at the PETL Office by 4:30 PM on Fri May 28 to catch the bus and return with the bus on Sat May 29. NO – I will make my own way to and from the event venue.

Bus Return Ticket Payment (Complete if Opting IN for the Bus Return Trip above)

I will pay $40 by E-TRANSFER indicating BUS RETURN TRIP in the message and sending payment immediately (I understand if the bus is cancelled I will receive a refund for this fee and need to make my own way to the event venue) I will immediately pay $40 ONLINE in the PETL Shop [etfopeel.com/shop] (I understand if the bus is cancelled I will receive a refund for this fee and need to make my own way to the event venue) N/A

Dietary Requirements (i.e., Anaphylaxis/Allergy to, Gluten-free, Halal, Kosher, Lactose Intolerant, Pescatarian, No Dairy/Beef/Pork, Vegetarian, Vegan) – Please note this is an event at a public venue and may require you to advocate for your requirements on the day of the event.

Accommodations (i.e., Closed Captioning Required) – Please note this is an event at a public venue and may require you to advocate for your accommodations on the day of the event.

Racialized Person (Please Specify)*

Your form has been submitted and you will receive an email from PETL – NO REPLY with the event details – mark your calendar!

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Status Retreat – Fri May 29 (eve) and Sat May 30