Association Summary Form for OFHSA Conference
Please submit the Association Summary Form with a cheque (1 per Association) to the Federation
Association Information
Association Name *
Your answer
H&S Council Name *
Your answer
If the Conference Planning Workgroup has any questions, please list contact information below
Association Contact Name *
Your answer
Association Contact Phone # *
Your answer
Association Contact Email *
Your answer
Attendees Information
Please only count each person once
Names of Attendees *
Your answer
Number of Attendees *
Your answer
Number of the above Attendees who will be the designated Annual Meeting Voting Delegates *
Your answer
Meals Required
Meal tickets MUST be purchased in ADVANCE.
Please list both the number of tickets required and the total cost for each meal response
Friday Reception- Free *
Your answer
Saturday Breakfast- $15 each *
Your answer
Saturday Lunch- $20 each *
Your answer
Saturday Dinner- $25 each *
Your answer
Total cost for meals *
Your answer
Forms must be received at OFHSA by MARCH 8th , 2019
Send one Association Cheque and all Registration Forms to:
51 Stuart Street
Hamilton, ON L8L 1B5

Thank you for your help, The Conference Planning Workgroup

Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service