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TLC Registration

Please contact HayMatick at 778-882-4389 or info@haymatick.com for any questions regarding registration.

REGISTRANT INFORMATION:
(* = required field)

*First Name
*Last Name
 
*Email
 
*Specialty
*Residency Location/Hospital
*Province
*Program Director
*Training Level PGY
*Have you attended TLC (CORE) in the past?    
*Are you aware of the Betty Rice Award?
For information on the Betty Rice Awards please click here.