Winnipeg Community Impact Event

Save my progress and resume later

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

Form Submitted Date:

Ensure the custom code is copied to the Form Properties

Please join us on Wednesday, October 7, 2026, from 7:00–9:00 PM at The Leaf at Assiniboine Park for an evening of appreciation and connection.

Complete your registration below to confirm your attendance for the Winnipeg Community Impact Event.

First Name

Last Name

Email Address

What is your preferred language of communication?

EnglishFrench

Communications:

Yes, I would like to receive communications about the impact of my support and updates on MS Canada Yes, I would like to receive SMS communications about the updates from MS Canada

Mobile phone number:

Will you be attending the October 7 event?

YesNo

Will you be bringing a guest?

YesNo

Guest First Name

Guest Last Name

Guest Email Address

Please enter your guests emails address, we will contact them to complete their registration.

If applicable, please list any dietary or accessibility needs:

Privacy Statement:

I consent to use of my personal info by MS Canada for purposes outlined in our privacy statement.

reCAPTCHA helps prevent automated form spam.

The submit button will be disabled until you complete the CAPTCHA.

Save my progress and resume later