Each registrant should use one form. Group/Family Members attending must indicate name of group on each form filled. Register early as conference capacity is limited.
Registration Form
Title Dr
 Mr Mrs Ms
First Name*
Last Name*
Professional Title
Hospital/Organization Affiliation
Group
Registering for* Day 1 only - Friday, October 1st, 2010
Day 2 only- Saturday, October 2nd, 2010
Both days
Phone
Fax
Contact Email*
Kindly list all allergy/dietary concerns:
Address
Use digits only.Captcha Image: you will need to recognize the text in it.
PDF Form option for check/Money order payment.
Mail To: Sickle Cell Awareness Group of Ontario (Formerly Seed of Life Philanthropic Organization)
517-1280 Finch Ave W. Toronto, ON. M3J 3K6
Regular Conference fee:$20
Reduce cost for Patients:$10
Note: We regret that child care facilities are not available at this conference. Attendance by children under age 10 is not recommended
Fee covers breakfast, lunch and snacks for both days.
Conference Venue: Crowne Plaza Hotel
#33 Carlson Court. Toronto, ON. M9W 6H5 (Airport Rd & Hwy 27)
PH: 416-675-1234)
Discounted Overnight Stay:$89.99
Click here for Discounted Hotel Accommodations