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Conference Attendee Registration Form

Date:	June 16, 2017
Time:	7:45 a.m. - 8:15 a.m. (Registration/Breakfast) 8:15 a.m. - 3:55 p.m. (Conference)
Location:	Fairmont Pacific Rim Hotel

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CONTACT INFORMATION

Click here if you agree to have your name, organization, and job title in the conference syllabus. No other personal information will be included.

*Required field

*First Name

*Last Name

Professional Designation (PT, OT, KIN, etc.)

Job Title

Company

*Address

*City

*Province/State

*Postal Code (XXX XXX)

*Country

*Phone Number (xxx-xxx-xxxx)

Extension Number

*Email

Food allergies, mobility restrictions, etc:

CONFERENCE REGISTRATION

Registration fee includes all meals.

Registration Category	Regular (May 17 - Jun 2)	On-site (After Jun 2)
Standard	275 + GST	375 + GST

Registration deadline is on June 2, 2017. After this date, only on-site registrations will be accepted.

BREAKOUT SESSION

Please select a breakout session from each time slot below. To view guest speakers and learning objectives for each session, please refer to the speakers/topics page.

10:30 a.m. - 11:20 a.m. Breakout Session:*

Reconciling Movement and Exercise with Pain Neuroscience Education by Neil Pearson

Multigenerational Client: How to communicate effectively to build trust and rapport (workshop) by Shane Jensen

Diagnosis and Early Clinical Management of Workplace Concussion by Dr. Noah Silverberg

11:25 a.m. - 12:10 p.m. Breakout Session:*

How Opioids Can Induce Pain and What To Do About It by Dr. Launette Rieb

Tactical Communications: Dealing with Challenging Behaviour (Part 1 of 2) by Dr. Mike Sheard

1:40 p.m. - 2:25 p.m. Breakout Session:*

Advances in Recovery of Function: Practical Techniques Guided by Pain by Neil Pearson

Tactical Communications: Dealing with Challenging Behaviour (Part 2 of 2) by Dr. Mike Sheard

Risk Factors and Mitigation Strategies for Delayed Return to Work After Workplace Concussion by Dr. Noah Silverberg

Payment Options

Cheques are not accepted.

Summary

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GST 5%:

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Confirmation Email
Once you hit the 'Submit' button, you will receive an email confirming your registration instantly. If you do not receive a confirmation email within 10 minutes, please contact Christine Lynn by email at christine.lynn@worksafebc.com or at 604.276.3329.

Cancellation and Refund Policy
Organizers of this conference incur significant non-refundable expenses prior to the event. Should you need to cancel your registration, you must do so in writing to christine.lynn@worksafebc.com before June 2, 2017. Your registration fee, less a $50 handling charge, will be refunded. After June 2, 2017, no refunds will be granted. Replacements will be allowed before June 2, 2017.

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