Registration Form

A. Identification

Professional Status*
           

Medical Specialty:
Professional License Number

B. Special Needs

Please indicate any special needs you may have (e.g. dietary, wheelchair access etc.)


C. Special Interest Group (SIG) Preferences

Please provide your 1st and 2nd choices for each day.

Wednesday Other BRCA-associated Cancers (pancreas and prostate): Germline Testing, Early Detection and Targeted Cancer Therapies
Professional ethical duty and liability in a context of increasing decentralization and de-specialisation of genetic tests
Cancer Concerns for Transgender and Gender Diverse People

Thursday The Emotional Pedigree: Addressing the Heart of Complex Psychosocial Issues in GC sessions with HBOC Patients
Exploring cut-offs: when is the risk high enough to consider salpingo-oophorectomy?
CanRisk Workshop – multifactorial breast and ovarian cancer risk prediction

Friday Alternative Models of Service Delivery
The lower risk and rarer breast and/or ovarian cancer genes – What do we know and what should we do with what we know? (e.g. CHEK2, ATM, BRIP1, BARD1, NTHL1)

D. Registration Fees

FULL CONGRESS REGISTRATION

Before Jan. 27, 2023 Before Apr. 14, 2023 After Apr. 14, 2023 TOTAL $
Physician / Pharmacist / Corporate $995 $1,140 $1,325
Genetic Counsellor / Nurse / Other $795 $895 $1,060
Post-Doc / Resident $780 $895 $1,020
Student2 $625 $705 $800

Full Congress Fees include access to all sessions, three SIGs, posters and exhibits; continental breakfast each day, lunches (May 2, 3, 4), coffee breaks; the Symposium documentation, as well as access to the recordings for 30 days following the event.

INDIVIDUAL DAY REGISTRATION

Before Jan. 27, 2023 Before Apr. 14, 2023 After Apr. 14, 2023   
Physician / Pharmacist / Corporate $480 $515 $550
Genetic Counsellor / Nurse / Other $360 $395 $425
Post-Doc / Resident $350 $395 $425
Student $260 $285 $305
Choose days :                                                   
$  X  Days  =  $

Individual Day Fees include access to sessions, SIG, posters and meals taking place on that day; the exhibits; Symposium documentation; as well as access to the recordings of the day's sessions for 30 days following the event.

LIVE STREAMING ONLY

Before Jan. 27, 2023 Before Apr. 14, 2023 TOTAL $
Physician / Pharmacist / Corporate $700 $750

Registration

closes on

April 14,

2023

Genetic Counsellor / Nurse $560 $600
Post-Doc/Resident $550 $590
Student $440 $465

Live Streaming Only Fees include access to the livestream of all sessions taking place in the plenary room, the Symposium documentation, and access to the recordings of these sessions for 30 days following the event.

All fees are shown in Canadian funds.

1 Please provide proof of Post Doc / Resident status, i.e. letter from your programme director.

2 Please provide proof of full-time student status, i.e. copy of current student card or letter from your programme director.




E. Payment

Total Registration Costs   $
Online Credit Card Payment (VISA, Mastercard, Discover, American Express, Diners Club, Carte Blanche, JCB and Visa Debit)
Certified Cheque/Money Order/Bank Draft
(Please make payable in Canadian funds to "O'Donoughue & Associates Event Management Re : BRCA")
Credit Card Payment by Fax
I am an Invited Speaker

Cancellation Policy

All cancellations must be in writing.

In-person registration cancellations received:
  • by February 10, 2023: Full refund less an administrative fee of $50.
  • between February 10 and March 10, 2023: 50% will be refunded.
  • after March 10, 2023: No refund.
Converting in-person registration to virtual (Live Streaming):
    Any delegate unable to attend in person may convert their registration to virtual, i.e., apply their registration fee to the virtual registration fee applicable at the time of conversion, and receive a refund for the difference (less an administrative fee of $25). The deadline to convert to the virtual (Live Streaming) registration is April 14, 2023.
Live Streaming registration cancellations received:
  • by March 10, 2023: Full refund less an administrative fee of $50.
  • after March 10, 2023: No refund.

 I have read and acknowledge the cancellation policy.