MeDiC Research Day - Event Registration

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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 (laurence.gagnon4@mail.mcgill.ca) or Nancy Wu (nancy.wu@mail.mcgill.ca).

First Name *

Last Name *

McGill/RI-MUHC Email *

MeDiC Program *

Centre for Translational Biology (CTB, Glen Site)

Centre for Outcomes Research and Evaluation (CORE, 5252 de Maisonneuve)

Other Program

I will attend the conference *

Yes

Dietary Restrictions

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. *

Yes, I consent to have my photo taken.

No, I do not consent to have my photo taken.

I will submit an abstract *

Yes

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