Dietary Preferences & Restrictions:
Please indicate any dietary preferences or restrictions:
(e.g., vegetarian, vegan, halal, kosher, allergies, etc.)
Accessibility & Inclusion:
Do you have any accessibility needs or requests to help make your participation comfortable and inclusive?
(e.g., wheelchair access, sign language interpretation, sensory accommodations, etc.)
Consent & Agreements:
- I consent to the use of my name and photo in event materials and media related to the Summit.
- I understand that registration as a Supporter requires a contribution to confirm my participation.
- I agree to uphold the Summit's spirit of respect, inclusion, and cultural sensitivity throughout my participation.
Payment Section (for Individual Supporters only):
Registration Fee: $250 USD
Please send your contribution through below Account:
Name of Bank where A/c is located: JP Morgan Chase Bank
Bank Address: 270 Park Avenue, New York, NY 10017
Account Number: 675321753
Routing Number: 021000021
SWIFT code: CHASUS33
Payment Section (for Organisational, Institutional Partner):
Registration Fee: Suggested contribution 1500 USD and above
Please send your contribution through below Account:
Name: Global Alliance for Indigenous Peoples, Gender Justice and Peace
Name of Bank where A/c is located: JP Morgan Chase Bank
Bank Address: 270 Park Avenue, New York, NY 10017
Account Number: 675321753
Routing Number: 021000021
SWIFT code: CHASUS33
Additional Comments or Questions:
"Please share any additional information, reflections, or requests you'd like the organizing team to be aware of."