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If you ALREADY have a username and password for our system, please click here and do not complete the form below.

 

Please complete the information below.

This will help us to recover your password or create your new account.

Items marked with * are mandatory for registration.


Prefix*:
First name*:
Last name*:
Email Address*:
Address 1*:
Address 2:
City*:
Province/State*:
Postal/Zip Code*:
Country*:
Telephone*: (xxx-xxx-xxxx)
Fax: (xxx-xxx-xxxx)
Organization / Employer:
Graduation year:
Dietary Restrictions:
How would you characterise your primary medical practice?*
I am a: *
Specialty*
Are you a fellow of the Royal College of Physicians and Surgeons of Canada?*
Participant list for events you attend, containing your name and city
Contact list for future educational programs
How much time do you need to receive notice of our conferences?
What times of year do you prefer to attend conferences?

A password will be automatically generated and emailed to you.

Personal Information and Consent to Store Information Outside of Canada

Personal Information is collected on this registration form pursuant to section 26 of the
Freedom of Information and Protection of Privacy Act, RSBC 1996 c. 165. This information
will be used for the purposes of facilitating the conference and collecting aggregate statistics.

The information you provide will be stored on our behalf in the United States of America by Amazon Web Services.
This information is being stored for the purpose of registering you and managing your user portfolio.
It will not be used for any other purpose. This information is stored securely and it will not be shared
with any other party or person.

Under the British Columbia Freedom of Information and Protection of Privacy Act, you must provide
consent to the storage of Personally Identifiable Information outside of Canada.
By clicking the button below you provide this consent.
Should you have any questions about the collection of information, please contact UBC CPD Registration: cpd.info@ubc.ca.
Please click here if you do not consent.


Please note that unauthorized access to any computer system is a crime.
By clicking the button below you acknowledge that you are the person indicated above.
All interactions with this system are logged.