Please Note: The presentation/workshop fee will be provided in your follow up correspondance. Presentation Request Details Détails de votre demande Date of Request * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Where did you hear about the Prevention and Wellness Centre? Contact Details Pour nous joindre Contact Name * Company/Organization Name * Type of Organization * Not-For-Profit For Profit Community Group Purpose of Event * Describe the purpose of your event i.e fundraiser, campaign, employee wellness etc... Who is the sponsor of your event? (If no sponsor, please write "N/A".) * Phone Email * Event Details Évènements Event Date & Time * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Presentation Length (hours) * Event Location * Audience Size (Minimum 20 people) * Presentation Requested * Know, Understand, Act Risk-Factor Specific Know, Understand, Act + Brief Risk Factor Assessment Not Just an Incident Medication Management Basic Cardiovascular Risk Assessment Badbot FieldsIf you see these fields, something is wrong. Badbot seed If you see this field, something is wrong. Badbot hash If you see this field, something is wrong. Badbot catch If you see this field, something is wrong. Leave this field blank
