Request edit access
MeDiC Research Day - Event Registration
Please complete this registration form to secure your spot on MeDiC Research Day. If you are submitting an abstract, please find the deadline and abstract-specific form below.

Event Date: March 29th, 2019
Event Time: Full day event
Event Address: Glen Site, Atrium, Block E
1001 boulevard Decarie, H4A, 3J1, Montreal

Deadline for Abstract Submission: March 1st
Deadline for Registration: March 15th

Please direct any questions about registration to Laurence Gagnon ( or Nancy Wu (
First Name *
Your answer
Last Name *
Your answer
McGill/RI-MUHC Email *
Your answer
MeDiC Program *
I will attend the conference *
Dietary Restrictions
Your answer
By participating in this event, do you consent to photography and its release, publication or reproduction to be used for inclusion on our website, social media platforms, or any other purpose by the MeDiC program. Images, photos and/or videos may be used to promote similar MeDiC events in the future, highlight the event and exhibit the capabilities of the program. *
I will submit an abstract *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy