© 2011 InnoVetEd
Innovative Anesthesia Continuing Education
Workshop and Wet Lab Registration Form
Hands-on education for veterinary teams
Name: *
Participant
Information
DVM
CVT
RVT
AHT
None (can register for Day 1 only)
Certification: *
Veterinary Clinic Name:
Mailing Address: *
Contact Phone #: *
Email Address: *
Attending Team
Member Names:
Workshop
Information
Venue:
Red River College, Nov 5, 2011
Which session are
you registering for? *
Day 1
The
Day 2
session is now full.
You may continue to register
for
Day 1
only here.
To be waitlisted for the
Day 2
session please email
info@nancybrockvetservices.com
=>
Meal Preference:
No Preference
Vegetarian
Workshop Fees:
Day 1 only - $225 + GST = $236.25
Day 1 and 2 - $650 + GST = $682.50 (must be DVM, CVT, AHT or RVT)
Print Form
Program Details
Innovative Anesthesia Workshop
Questions? Call Dr. Nancy Brock at 1-800-338-9986 or n.brock@telus.net
Please complete and submit the on-line form below.
Hands-on Education for the Veterinary Community