Gala - Individual Registration

Welcome to the
uOttawa Faculty of Medicine Gala
Registration Site

October 5, 2019 | Reception at 6pm, Dinner at 7pm
Shaw Centre, Trillium Ballroom | 55 Colonel By Drive, Ottawa

NOTE: Your email address can be used for more than one person being registered. You will then receive all applicable tickets and are therefore responsible for their distribution.

I am aware that this is not a full table registration

Group Members

Group Size

Contact Details

Please ensure the email entered below is valid. Participants will receive a unique QR code via their associated email address that will be used to enter the event.

Contact Details

Prefix

First Name

Last Name

Organization

Email Address

Address

City

Province

Postal Code

What is your affiliation with the University of Ottawa?

If you selected, "alumni", please indicate your anniversary year. If you did NOT select, "alumni", please write, "0".

Fee Type

Please select the fee type below applicable to the registration of the above attendee.

Please note that student ID may be requested if the Student Registration fee type is selected.

General Public FULL

150.00

Faculty / Alumni FULL

150.00

Support Staff FULL

75.00

Student Registration FULL

60.00

Dietary Restrictions / Accommodations

Dairy/Lactose

Gluten

No Pork

Nuts

Vegan

Vegetarian

Not applicable

Other Dietary Restrictions / Special Requirement

Severity

High

Low, foods can be in the same room, but well labeled

Other Information

Preferred Language

Gender

Female

Male

Other

Student Credentials

Please enter the student ID number respective to the last individual registered. This will be reviewed following your registration submission.

Student Number

Staff Credentials

Please enter the employee ID number respective to the last individual registered. This will be reviewed following your registration submission.

Employee Number

Advancement Office Mailing List

Marketing and Communications Mailing List

Continuing Professional Development Mailing List

Mailing List Opt-In

Please select the boxes below to subscribe to the respective mailing lists. If you do not wish to subscribe, simply click "Next" at the bottom of the page.

Summary

Terms and Conditions

I confirm that the participant(s) registered have valid email addresses to receive their ticket (QR code) to the Gala. I understand that as this is not a table registration, all efforts will be made to ensure my group is seated together, however this is not a guarantee.

Agree

Payment

Thank you for registering for the uOttawa Faculty of Medicine Gala!

October 5, 2019 | Reception at 6pm, Dinner at 7pm
Shaw Centre, Trillium Ballroom | 55 Colonel By Drive, Ottawa

NOTE: A confirmation has been sent to the email used to register each individual. This email contains a unique QR code that will serve as their ticket to the event. This can be either printed or presented on a device.

Click here to register for the Welcome Reception: Homecoming Kick-Off and/or the Alumni & Friends Awards & Farewell Brunch.

For questions regarding your registration, please contact cpd@toh.ca.

For questions regarding Homecoming Weekend, please contact cadumoulin@toh.ca.

Homecoming Weekend Information Site

Gala - Individual Registration

Group Members

Terms and Conditions

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