Social Venture Institute 2024

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* These fields are required

1 Welcome

3 People in your group

Guest 1		First Name* Last Name* Email* Room Share Preference
Guest 1		First Name* Last Name* Email* Room Share Preference

After completing this form, emails will be sent to everyone in your group to complete their information.

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4 Optional Items

5 SVI Registration

Email newsletter	Subscribe me to Hollyhock Talks emails!Enjoy special discounts, recipes, videos, podcasts, and blog posts from Hollyhock presenters and staff!
Emergency Contact *	Include name, relationship, and phone number of an emergency contact who will not be attending with you.
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Age *	under 18 18 - 24 25 - 39 40 - 54 55 - 64 65 - 74 75 +
What are your pronouns? *	She / Her / Hers He / Him / His They / Them / Theirs Other Prefer not to say
Other Pronouns
We aim to create safer environments that cater to a diverse audience. Acknowledging the significant work being done in marginalized and racialized communities, our goal is to provide a platform for these voices to be heard. Please check all that apply:	Indigenous, Aboriginal, First Nations, Metis, or Inuit Black, or of African descent Person of colour White, Caucasian 2SLGBTQIA+ Person with a physical or cognitive impairment Person who is neurodivergent Recent immigrant or refugee Other
If you checked "Other" please specify:
Are you sharing a room?	Yes
Room Share Preference	Hollyhock's dorm accommodations use gender-based room assignment. Our mixed dorm is open to all genders. If you identify as trans, non-binary, neutral, or otherwise genderqueer and have selected a twin or 3-share room, please choose the shared arrangement that is most comfortable for you. You may call us if you have any questions or concerns. 1-800-933-6339
In the event that you are in shared accommodation, we will try to pair you with a roommate who shares your circadian rhythm. Are you more of an:	Early riser Night owl
Requested Roommate	Please indicate the name(s) of anyone you would like to share a room with.
Are you staying off-site (Commuter)?	Yes
Commuter Meals	Breakfast, Lunch, & Dinner ($115/day) Lunch & Dinner ($93.00/day) Lunch Only ($31.00/day) Your commuter package includes breakfast, lunch, and dinner. If your prefer to only have lunch and dinner, or just lunch, please check the appropriate box. Your package and pricing will be updated manually and you will get a second confirmation when we have updated your package. Please call us if you have any questions or would like a different meal arrangement: 1.800.933.6339
Meal Options *	All meals feature ingredients from our garden, locally sourced proteins, with a weekly oyster barbecue.
If you said 'yes' to Restricted Diet, please indicate which options apply to you: *	Pescatarian Vegetarian Vegan Dairy Free Gluten Free Small Portions (no cost reduction) We are a remote island location with limited resources. If you have any dietary needs outside what is offered here please contact registration@hollyhock.ca to ascertain whether we can accommodate your dietary requirements at Hollyhock.
Food Allergies & Intolerances	I have a life threatening or serious food allergy I have a food sensitivity or intolerance We are a remote island location with limited resources. For all Life threatening allergies, or diets outside of what is offered please contact registration@hollyhock.ca to ascertain whether we can accommodate your needs at Hollyhock.
If you clicked yes to "Life Threatening Allergy" please contact us directly to ascertain if we can accommodate your safety 1-800-933-6339. Please indicate your life threatening or serious food allergies here:
If you clicked yes to "I have a food sensitivity or intolerance" please call us directly to ascertain if we can accommodate your needs +1 800 933 6339,
How did you hear about us or about your program? *	I am a return guest Online Search (e.g. Google) Program Presenter (e.g. presenter's website, email, podcast/interview) Hollyhock Email Social Media (e.g. Facebook, Instagram, Twitter) Hollyhock Print Catalogue Hollyhock Event (e.g. launch party) Other Please select all that contributed to your decision to register today.
Second choice for accommodation	Tent site Shared dorm - Room with up to 6 people per room Twin - Room with 2-3 roommates Private - Private room with shared bathroom Commuter - Stay offsite and enjoy your meals on campus We may contact you about changing your room assignment View our rates here.
Other comments or special requests? Please help us ensure your comfort by sharing any special information concerning accessibility requirements or other physical, emotional, behavioral, or relational needs.
Have you attended SVI before? *	Yes No Check "yes" if you have attended SVI Hollyhock, SVI Vancouver, SVI Alberta, or SVI Women once or more before
This program includes peer learning and artistic practice. Are there any workshops or conversations you'd like to lead or any artistic talents you might offer - read a poem, sing a song, lead a movement session, etc.
Your LinkedIn url or website
Business or Organization *
What is your role in your business/organization? *	If you don't have a specific role please indicate that.
Your business/organization type is *	For profit Not for profit Cooperative Hybrid
Your business/organization stage is *	idea pre-revenue revenue-generating
Your industry *
What best describes your team *	Just me 2-5 team members 6-20 team members 21-50 team members 51-100 team members 100+ team members
Please share a little about your business/organization's mission and the impact you make in the world *
Please share what interests you about this program and what you are hoping to draw from the experience. *
If you have a disability or specific needs of any kind, we invite you to let us know so we can ensure your comfort and full participation.
I consent for my name and email address to be shared with fellow participants in the program.	I consent for my name and email address to be shared with fellow participants in the program.
Terms and Conditions *	I agree to provide a non refundable deposit and that the final balance will be automatically charged to the credit card on file 30 days before the eventFull terms & conditions can be found here.
Promo Code
Photo Policy *	I acknowledge that I have read and understood Hollyhock's photo policy: Occasionally Hollyhock staff, volunteers, or contractors take photos and videos throughout the Hollyhock campus to use in promotional materials such as on our website, e-mails, and social media accounts. By participating in our programs and/or by being on the Hollyhock campus, you are authorizing and consenting that Hollyhock shall have the rights to use and permanently retain any/all photographs, audio and video recordings taken during your stay at Hollyhock, for all purposes relating to Hollyhock's business and not-for-profit activities. We will usually let participants know when there is a photographer in attendance and we strive to represent all images in an honest and respectful way. If you/your family do not wish to be included in photographs or recordings, please sign an opt-out form at the front desk when you arrive and ensure that you identify yourself to any photographers on site. If a photo is being taken and you are in a position to do so, please do not partake in the photo. Please ask for assistance if you need any support.

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Single w/shared bathroom

Couple w/ensuite Oceanfront

Couple w/ensuite

Couple w/shared bathroom

Twin w/ensuite oceanfront

Twin w/ensuite

Twin w/shared bathroom

Three-share w/shared bathroom

Women Dorm

Male Dorm

Mixed Dorm

Tent Site Single

Tent Site Couple

Commuter

1 Welcome

2 Price

Select an option*

Single w/shared bathroom

Couple w/ensuite Oceanfront

Couple w/ensuite

Couple w/shared bathroom

Twin w/ensuite oceanfront

Twin w/ensuite

Twin w/shared bathroom

Three-share w/shared bathroom

Women Dorm

Male Dorm

Mixed Dorm

Tent Site Single

Tent Site Couple

Commuter

3 People in your group

4 Optional Items

5 SVI Registration

6 Payment