Kainai Diabetes Program Conference 2025

Registration Form

Awareness to Action, Your Wellness Journey Starts Now

Date: November 14, 2025

Time: 10AM to 2PM

Location: Multipurpose Building

Contact: kainaidiabetes@btdh.ca

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Name *

First

Last

Email *

Phone

Required the about

Would you like to receive email updates from Kainai Diabetes Program?

• Yes
• No

Do you have diabetes?

• Yes
• No

If yes,

• Type 1
• Type 2
• Pre-diabetes
• Gestational

Are you apart of the Kainai Diabetes Program?

• Yes
• No

Where did you hear about this Conference?BTDH FacebookPosterBTDH SignboardFrom a friend/family memberOther

Required Checkboxes *

• By clicking here, I acknowledge that I understand the risks involved in participating in this program/event. I agree to inform BTDH staff of any medical condition, ailment, or injury that may affect my ability to participate safely. I recognize that while every effort will be made to ensure a safe environment, BTDH cannot guarantee that all participants will remain injury-free. I voluntarily assume all risks associated with participation and hereby agree to RELEASE, INDEMNIFY, AND HOLD HARMLESS the Blood Tribe Department of Health, its employees, volunteers, and board members from any and all claims, liabilities, or causes of action arising out of or related to my participation in this program/event.
• By clicking here, I acknowledge and agree that photographs and/or video recordings may be taken during this program/event. I give full permission to the Blood Tribe Department of Health (BTDH), its affiliates, staff, and authorized representatives to use my image and/or the image(s) (hereinafter referred to as “My Image”)—including photographs, video, and audio recordings—for use in BTDH communications, promotional materials, reports, and publications, whether in print, digital, or other media formats. I understand that once My Image has been shared publicly by BTDH, it may be subject to further use by third parties not associated with BTDH, and BTDH cannot control or prevent such unauthorized use.

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