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Buffalo Winter Count Robe Request Form

Buffalo Winter Count Robe Request Form

Please note the Knowledge Keeper is unavailable Thursday all day and Friday mornings. We ask that you complete the form four weeks in advance to ensure availability of Knowledge Keeper.

First Name * Last Name * Today's Date * Email Address * Phone Number Faculty * Semester * Class Size * Course Number and Title or Event * Location * 1st Preference Date and Time * 2nd Preference Date and Time * 3rd Preference Date and Time *

Duration of Presentation * 1 Hour 1.5 Hours

The University of Regina collects information under the authority of The University of Regina Act and in accordance with the Local Authority Freedom of Information and Protection of Privacy Act and the Personal Information Protection and Electronic Documents Act for purposes of the administration of the University and its programs and services. By responding to this form, you are consenting to the University of Regina using your personal information to respond to your request.