| Tree Map | Print Version | Help
Summary| News| Events| Documents| Web Forms| Search
 


 Indicates Required Field
 

Train the Trainer  Course Registration

2-DAY PROGRAM

Day 1 - Saturday, January 21, 2012

7:30 a.m. - 4:00 p.m.

Day 2 - Sunday, January 22, 2012

7:30 a.m. - 5:00 p.m.

Location:  Clinical Learning & Simulation Facility

Level 000 Brodie Centre, 727 McDermot Avenue

REGISTRATION FEE

Registration of $945 includes:

  •   Continental Breakfast, Snacks and  light Lunch on both days
  •   All Course Materials

In the event of cancellation of less than 14 days prior to the course, the full registration fee will be charged.

 

 

 
First Name
 
Last Name
 
Department  or Affiliation
 
Mailing Address
 
 
 Submit as HTML
 
Email Address
Note: A copy of this form will be emailed to this address upon completion.
Send me this email as HTML instead of plain text.
 
Purpose of Training
 
 
 Submit as HTML
 
Phone Number
 E.g., 2723070
 
Please indicate your experience with simulation:
 
 
 Submit as HTML
 
Profession
 
Please indicate if you require any specific dietary needs: (Vegetarian, Allergies, etc.) 
 
 
 Submit as HTML
 
Payment Methods:
 


 

For cheques payment, please mail them on or before January 10, 2012 attention to:

Gloria de Paz-Hryniuk

Clinical Learning Simulation Facility

Level 000 Brodie Centre,

727 McDermot Ave. Wpg, MB R3E 3P5

For further information concerning the session, please contact Gloria de Paz-Hryniuk at 272-3070 or email at clsf@cc.umanitoba.ca