ABMA2601 - Registration Form

EVENT INFORMATION | INFORMATIONS SUR L'ÉVÉNEMENT

DATE: Saturday, October 24, 2026
TIME: 5:30 PM (Eastern Time)
LOCATION: Montreal, QC

DATE : Samedi le 24 octobre
HEURE : 17h30 (Heure de l'Est)
LIEU : Montréal, QC

1. AVAILABILITY | DISPONIBILITÉ *This question is required.

CONTACT INFORMATION | INFORMATIONS DE CONTACT

Full name:
Nom complet : *This question is required.

E-mail:
Courriel : *This question is required. This question requires a valid email address.

Healthcare Professional Confirmation
Confirmation de professionnel de la santé *This question is required.

I confirm that I am a healthcare professional and that I am registering in accordance with the eligibility requirements for this program.
Je confirme que je suis un professionnel de la santé et que je m'inscris conformément aux critères d'admissibilité de ce programme.

Please indicate your professional designation:
Veuillez indiquer votre titre professionnel: *This question is required.

DIETARY RESTRICTIONS | RESTRICTIONS ALIMENTAIRES *This question is required.

Please specify:
Veuillez préciser : *This question is required.

Please indicate your full name:
Veuillez indiquer votre nom complet : *This question is required.

Would you like to continue to receive information about educational content related to this event?
Souhaitez-vous continuer à recevoir de l'information au sujet du contenu éducatif lié à cet événement? * *This question is required.

E-mail:
E-mail : *This question is required. This question requires a valid email address.