2022 ORA Residents Educational Day – Ontario Rheumatology Association

Your Name *

Title First Name Last Name

Email *

Address *

Address Address 2 City Province Postal Code

Participant Type *

Your attendance fee is based on this option.

Will you be bringing guests? *

Guests *

See below for different guest options:

Guest Name	Option

Free Guest Discount

Price: $ 0.00 CAD

Accessibility Concerns

Please enter any accessibility concerns for you and/or your guests if necessary.

Allergies / Dietary Notes

Please enter any dietary restrictions for you and/or your guests if necessary.

Accommodation Details

Sessions / Workshop Options

Friday May 13 Plenary Education Sessions (8:30 am - 12:00 pm)*

Friday May 13 OSCE (12:30 - 5:25 pm)*

Room Options

Special Event Options

Survey

Please fill in the following:

Question

Answer

Question

Program Affiliation

Please identify the program/hospital you are affiliated with:

REQUIRED

Question

PGY level

Identify your PGY level

REQUIRED

Answer

Total

$ 0.00 CAD

Registration Form