To successfully register for the Geriatric Certificate Program information session you must:

Submit your booking information at the bottom of this page. The Zoom information will be sent to all registrants the day before the event (March 2nd, 2021).

Spaces

First Name *

Last Name *

Title/Position *

Organization *

Phone # *

Email *

Professional Designation *

Other

Work Setting *

Other

Food Allergies or Restrictions

Notes

I consent to my submitted data being collected and stored as outlined by the site .