First Name
Last Name
Name of band or performance group (if applicable)
Email
Do you self-identify as
an Indigenous person in Canada, such as First Nations,
Métis
or Inui
t
?
Yes
No
Prefer not to say
Name of community
you are accountable to
City
Province / Territory
Please select...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Occupation
Area(s) of Expertise
What kind of events and activations would you like to be involved in? Select all that apply:
Elementary School Visits
Middle School Visits
High School Visits
Post-Secondary Visits
Corporate Events (ie. Legacy Space launch events, professional development, etc.)
Community Events (ie. festivals, exhibits and galleries, etc.)
Virtual Events (ie. DWF LIVE)
Agent/Manager's First Name
Agent/Manager's Last Name
Agent/Manager's Email
If you have an updated bio, please share here:
If you have an updated headshot, please upload the file below:
If you are having trouble uploading your headshot or have further questions, please contact Jamie at jamie@downiewenjack.ca