Manitoba/Saskatchewan Patient Empowerment Meeting
The Canadian Fabry Association (CFA) is hosting a Patient Empowerment Workshop for patients living in Manitoba and Saskatchewan (only available for those who did not attend the Calgary Empowerment Meeting) - Please RSVP by October 10th, 2018.

DATE: October 27th, 2018
TIME: 9:00am – 3:30pm (Time subject to change)
LOCATION: Inn at the Forks
(Address: 75 Forks Market Rd, Winnipeg, MB R3C 0A2)


ACCOMMODATIONS:

Accommodations will be covered for patients and their families if your commute to the Inn at the Forks is more than 2 hours, or if you are flying in for the Patient Empowerment Workshop.


MEALS:

A light breakfast, hot lunch, and afternoon break will be served throughout the workshop.


TRANSPORTATION:

We will reimburse preapproved mileage, bus fare, train, and parking for qualified participants. For patients and families requiring flights, the CFA will arrange flights and will reimburse pre-approved transportation costs associated with getting to and from airports.

Deadline: October 10th, 2018

Thank you, we look forward to spending the day with you.

How many people, including yourself will be attending the Patient Empowerment Workshop? *
Your answer
Please list the names of all those attending in your family, please put a asterisk(*) ahead of the patient's name(s). *
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Please list your email address for you, and anyone you are registering. *
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Please click on the option that best describes you *
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What is the best number to reach you at? *
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Do you, or anyone in your party have accessibility or special accommodations? If yes, please include the individual's name. *
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Empower yourself with knowledge!
Will you be driving 2 hours or longer? Please copy and paste Google map mileage with application. The CFA will reimburse 35¢/km. *
Your answer
Will you require Hotel Accommodations? (Those travelling from more than 2 hours away may be eligible for an accommodation scholarship)If yes, please indicate how many people? *
Your answer
Do you, or any member of your family, have food allergies/intolerances we need to be mindful about? (If yes, please list the member's name and the allergy/intolerance). We will do our best to accommodate your needs. *
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Fill in the blank with a positive empowering word that describes you and anyone you are registering - I AM.... (for example: brave, fearless, courageous...resilient...etc...) . *Ensure you complete this for all members of your party joining you. They will be used on our name tags. *
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Do you have anything else about you or your family that you would like us to know?
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