Please provide the participant's personal emergency contact that can be reached anytime, including evenings and weekends.
Please indicate dietary needs or check Not Applicable.
Please indicate special needs or check Not Applicable.
Environmental Scent Allergies
In an effort to reduce paper waste, all meeting materials for the forum are available on a USB KEY. Please note that complimentary Wi-Fi will be available in the meeting room. If you would prefer to receive a paper copy of materials kindly select this option.
You may apply for reimbursement of costs associated with providing alternative care for dependants who rely primarily upon you for physical care.
Dependant care reimbursement requested
CAUT/ACPPU T. (613) 820-2270 F. (613) 820-7244 E. email@example.com