twitter
facebook
English
|
Français
CIMVHR Registration
CIMVHR Forum 2024
Veteran Rate
Contact Information:
* Denotes a mandatory field
*
First Name:
*
Last Name:
Title:
*
Company/Organization:
Mailing Address:
City:
*
Province/State:
= select =
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Outside U.S./Canada
*
Country:
Postal Code:
Telephone:
Extension:
*
Email Address:
Event-Related Questions
*
Will you be attending the Tuesday night event?
For planning purposes, will you be attending the Tuesday evening reception? Please note that this event will be held offsite.
Yes
No
== select ==
Sunday night Welcome Reception
For planning purposes, please indicate below if you plan to participate.
Yes
No
== select ==
Pronouns
Please add your pronouns below if you would like them to appear on your conference name badge.
Twitter handle:
Get social with CIMVHR! Add your twitter handle to stay engaged at CIMVHR Forum!
*
ID #
Please note that a valid ID card will be required at registration.
Do you have any dietary restrictions?
Please specify.
Accessibility requirements
If you have a disability and require accommodation in order to fully participate in CIMVHR Forum, please let us know here.
Do you require continuing professional development (CPD) credits?
Yes
No
== select ==
*
Workshop Participants
If you plan to participate in a workshop, please let us know if you agree to share your registration information with the host.
Yes
No
== select ==
Are you a DND employee?
Are you currently an employee of the Department of National Defense of Canada?
Yes
No
== select ==
*
Email consent
I agree to grant the Canadian Institute for Military and Veteran Health Research permission to add my email address to their general mailing list. I understand I can unsubscribe at any time.
Yes
No
== select ==
*
I understand that out of respect for the organizations sponsoring the CIMVHR Forum, delegates are not permitted to display tradeshow booths or promotional material or to host unsanctioned promotional/side events in any hotel space.
Yes
No
== select ==
I agree to the
cancellation policy
close
Cancellation Policy
In the event that a registrant can no longer attend CIMVHR Forum 2024, and if Forum Organizers are notified in writing 6 weeks before the start of the conference (on or before September 9th, 2024), a refund will be issued.
All refunds are subject to a $50.00 administration fee. This fee will be withheld and the remainder of the registration fees refunded.
No refunds will be permitted after September 9th, 2024 unless approved by Forum Organizers.
Enter the text you see:
New image ↻
Can't see the image?