EarlyON Staff Day Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Wednesday May 29 2024, 8:00 AM - 3:30 PM Location: Mississauga Convention Centre, 75 Derry Rd W, Mississauga, ON L5W 1G3 Name *FirstLastAgency/Centre *Centre Location *Email *Phone Number *Are there any additional special requests or learning needs we should know about (example; prefers closer seating to the stage, etc.) *YesNoIf yes, please specify: *Menu preferences: *Do you have any dietary restrictions or allergies: *YesNoIf indicated yes, please provide the following information: What is the dietary restriction or allergy to? *What is the severity of the allergy (is it an anaphylaxis allergy)? *What triggers the allergy (i.e.; airborne, ingestion, topical, etc.)? *We strive to accommodate all dietary needs, however, please note that while CDRCP makes efforts to communicate allergy concerns to the venue, we cannot guarantee the absence of specific allergens. By sharing your allergies with us beforehand, we will diligently inform the venue. We encourage you to remain vigilant by checking labels, asking questions, and exercising personal judgment. While food items will be labeled to the best of the venue's ability, please be aware. For those with airborne allergies, kindly manage them independently. Participants with anaphylaxis allergies are responsible to ensure they bring their own EpiPEN in case of emergencies. For additional support or questions, email [email protected] Submit