2016 CHRS Fellow's Program Registration

September 18, 2016
Hyatt Regency, 700 Centre Street SE, Calgary, Alberta

Question Title

* 1. Please complete the following form to register for the 2016 Fellow's Course

First Name

Last Name

Address

City

Province

Postal Code

Telephone

Institution

Program Director

Assistant Name

Assistant Email

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* 2. Will you be attending the CHRS Annual Meeting September 16-17 2016?

Yes

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* 3. Based on the program do you have specific topics or questions you would like to see addressed?

Question Title

* 4. Emergency contact

Name

Telephone 1

Telephone 2

Don't forget to book your travel and accommodations as soon as possible! A special rate of $219 per night is available at the Hyatt Regency, but only until AUGUST 12. Travel Grants are also available for members participating in the fellow's program. Go to www.chrsonline.ca for more information.

Thank you for participating in the 2016 CHRS Fellow's Program. Click submit to finalize your registration.