Half-Day Brain Tumour Information Day Registration Form
 

Please note, this registration form is for the free, Half Day Information Day events in the spring.
If you wish to register for a full day Information Day in Calgary, London or Halifax this October, please visit the city’s page under ‘Locations and Dates’ and click register online.

Contact Information

   * = required field
Select a Location and Date*
If you are bringing children to the Kids Conference
please enter each child's name and age.
First Name * Last Name *
(This is how your first and last name will appear on your name badge.)
Address * City *
Province * Postal Code *
Email  * Telephone *
  I am registering as a *
       

Tell Us About Yourself

This information helps us to plan the best education event for you and those in your community. This portion of the registration form is optional.

Please tell us about any physical needs you have:
Your age range:


Please share your type of brain tumour:
How did you hear about this event?

Please list each family member by name including first and last name:
Please specify :
Please specify :
 

Please answer this question: 1 + 1 =

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May is 'Leave A Legacy' Month

It was August of 1985 when Shelley Fitak first began to learn about brain tumours. It was then that her first husband, Bob Thierman, was diagnosed with a brain tumour. At the time, little was known about brain tumours. In addition, there was very little support or information available across Canada ...

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Lin-Pei's Story: Spring Sprint Support

A New Mom With a Malignant Brain Tumour Supports Spring Sprint February 8, 2011 is a day that I do not remember, but it has become a...

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New Public Service Announcements

Early in 2012, members of the film and television industry from Canada and the United States came together to produce three Public...

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Upcoming Events

  • 21/May/2012: New Glasgow Support Group: Meets at Glen Haven Manor, 739 East River Road, New Glasgown, NS... Learn more >
  • 21/May/2012: Guelph Support Group: Meets at Hospice Wellington, Community Program Room, 795 Scottsdale Avenue,... Learn more >
  • 21/May/2012: Mississauaga Support Group: Meets at Westminster United Church, 4094 Tomken Rd., Mississauga, ON... Learn more >
  • 21/May/2012: Edmonton Support Group: Meets at Zion Lutheran Church, 11533-135 Street in Edmonton ... Learn more >
View All Events >
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