Please complete the information below in order to be able to register for GI Research Day. You MUST register in order to attend. Note that if you indicate that you will attend dinner but fail to to do so, you will be charged $75. Dinner cancellations are possible up until June 14th by emailing Melissa.couto@sunnybrook.ca.

Fields marked with an asterisk (*) MUST be completed.

Contact Information
First Name*
Last Name*
Institution*
Address
City
Province
Postal Code
Telephone*
Extension
Fax
Email*
Please indicate all event(s) that you will attend:
Buffet Lunch   Oral presentations - session 1   Nutritional Break   Oral Presentations - session 2   Reception/Posters   Keynote Speaker   Dinner & Awards
What type of meal would you prefer?   Regular   Fish   Vegetarian
Please identify any dietary (or special) needs: