2026 Central Family Forum Registration

Request to attend

We encourage you to fill out the form below to express your interest in attending the family forum. We cannot guarantee space is available, but we will be in touch to let you know and share any important details in the near future.

If you need assistance or have questions please contact Kelley Thompson at (888) 567-9490 or [email protected].

Email(Required)

Name(Required)

First Last

Address(Required)

Full address is required.

Street Address Address Line 2 City Province Postal Code

Phone(Required)

Have you attended a Threads of Life Family Forum before?(Required)

Yes, I’ve attended a family forum before

No, this is my first time

I am registering because of a work-related:(Required)

fatality

life-altering injury

occupational disease

Name of worker affected by workplace tragedy:(Required)

Yourself or a loved one.

My relationship to the worker affected(Required)

Date of incident(Required)

When did the incident happen?

Date of diagnosis(Required)

When was a diagnosis of an occupational disease made? An approximate date is fine.

Date of birth of worker affected(Required)

What is the worker’s birth date?

Date of death(Required)

Date of death (where applicable)

Will you have any additional family members attending?(Required)

Yes

Please note: If family members reside in a separate household, we recommend they complete a separate registration.

What is your primary language?(Required)

This event is offered in English. What is your level of comfort in communicating in English?(Required)

Additional family members

The family forum is for participants who are 14 years of age and older, who are emotionally ready to heal, share their grief and hear others’ experiences.

Please list first and last names and relationship for each additional family member.(Required)

Important: Please indicate full name, age, email and/or phone number and your relationship to each additional family member who will be attending the family forum with you. eg John Peter, age 39 years old, [email protected], 905 555-5555, spouse