LEAP Core Manitouwadge


Title: LEAP Core Manitouwadge
Date: March 2, 2018 - March 4, 2018
Time: 4:00 PM
Duration: 3 days
Location: Sante Manitouwadge Health
Abstract:

Click here to view poster

Click here to view registration form

Please note dates and times:

Friday, March 2nd, 4:00 pm - 8:00 pm

Saturday, March 3rd, 8:30 am - 4:30 pm

Sunday, March 4th, 8:30 am 12:00 pm

Presenter: Dr. Kevin Miller, Robin Cano, Jessica McAnulty
Audience: Licensed health care professionals working in MOHLTC/LHIN funded agencies in Manitouwadge and surrounding area
Register: Please scroll down to register
Fees/Cost: Physicians $300, Non-Physicians $240
Hosted by: Centre for Education and Research on Aging & Health

REGISTRATION REQUIRED

Personal Information

* Denotes a required field.
First Name(s)*:
Last Name*:
Student Number:
If Applicable
Birth Date:
Occupation/Position:
Institution/Organization:
Contact Mailing Address*:
City*:
Province/State*:
Country*:
Postal/Zip Code*:
Contact Telephone Number*: () -
Fax: () -
Email*:

May we contact you by e-mail to share future education opportunities?*

How are you participating in this event?*

If participating by OTN, have you confirmed space with your local OTN Coordinator?*

If participating by OTN, from which site will you be attending the session? (ie. Dryden Hospital, or, OTN site and system numbers)*


Yes, I was previously a Lakehead University student.
Yes, I was previously employed by Lakehead University.

Workshops (Fees include GST)

Early Bird Regular
Registration Fee - Physicians N/A $300
Registrtion Fee Non-Physicians N/A $240

Payment Options *

Online Cheque Phone

Personal information requested on this form is collected pursuant to section 3 of the Lakehead University Act and will be used only for event registration and to provide registrants with information about the University. Any questions on this collection should be directed to: , 955 Oliver Road, Thunder Bay, Ontario P7B 5E1. Telephone: