Environmental Farm Plan (EFP)/Climate Change Workshop – Deer Lake Registration Form First Name(Required) Last Name(Required) Email Address(Required) Contact Number(Required) Farm Type (Commodities)(Required) Farm Location(Required) Do you have an Environmental Farm Plan (EFP) completed?(Required) Yes No If yes, what year was it completed?(Required) Please state any dietary restrictions.(Required) Privacy statement(Required) I agree to the privacy statement.The personal information collected in this form will be used only to register for this workshop. This information is being collected in accordance with section 61(c) of the Access to Information and Protection of Privacy Act, 2015 (ATIPPA, 2015). All information provided will be maintained in a secure manner and confidentiality will be protected, as required by the ATIPPA, 2015. For questions or comments related to the protection of your personal privacy, please contact: John Sheppard ATIPP Coordinator email: johnsheppard@gov.nl.ca phone: 709.729.1140 For more information or questions about this form, please contact: Aleya Ferdausi, PhD Environmental Farm Planner email: aleyaferdausi@gov.nl.ca phone: 709.729.1107
