NWO PCC Booster - Evening Symposium | Centre for Education and Research on Aging & Health

Evening Symposium - "Responding to expressions of distress: The advanced application of the palliative approach to care"

Date:
Wednesday October 2nd, 2024
5:30pm - 6:00pm (in-person symposium/dinner)
6:00pm - 7:30pm (accredited educational session)

Location - In Person:
Supperior Inn Hotel & Conference Centre
555 West Arthur Street
Thunder Bay, Ontario

Location - Virtual:
via Zoom Platform

Please note: If you are registering multiple delegates, each one will require a separate registration with a unique email address.

	IN-PERSON REGISTRATION	VIRTUAL REGISTRATION
Physician / Nurse Practitioner	$75	$30
NOSM Learner*	$25	FREE*

Registration Fees include HST.
*NOSM Learners attending Virtually must use our alternate form for free registration!

Registration Fee *

In-Person: Physician / Nurse Practitioner [$75.00]

Virtual: Physician / Nurse Practitioner [$30.00]

In-Person: NOSM Learner [$25.00]

First Name *

Last Name *

Email *

Phone *

Address *

Country *

Address 1 *

Address 2

City *

Province *

Postal code *

Role/Discipline *

Organization *

Food Allergies (if any)

What do you most hope will be covered/discussed at this session?

Emergency Contact

Emergency Contact Full Name *

Emergency Contact Phone *

Acceptance

Media Usage *

I acknowledge that I have read and understood the photograph and video statement below. By registering for this conference, you acknowledge that photos and videos may be taken throughout the event. Photographs may be taken during this event, which may or may not include your recognizable image. Your attendance constitutes permission for the conference organizers to use these photos and videos for promotional purposes, including but not limited to website, social media, and marketing materials. If you do not wish to be photographed or filmed, please notify Stephanie Hendrickson at shendric@lakeheadu.ca

*Please note this event will be available live to virtual participants but will not be recorded for later viewing.

Once you submit payment by credit card you will receive an email confirming your registration. If you do not receive an email within 3 days, please contact Stephanie Hendrickson at shendric@lakeheadu.ca

Cancellation Policy:

If you must cancel your in-person registration, CERAH must receive written notice of cancellation by email. Requests should be submitted to: shendric@lakeheadu.ca

Cancellation requests received:

On or before September 18, 2024 – Full refund minus a $25 administration fee
On or after September 19, 2024 – No refund

Please note: We are not able to refund virtual registration fees!