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Registration

Deadline for Registration: February 28, 2019

arrowClick on the form image below to download the Registration Form

The program fee includes:
arrowLeadership program curriculum
arrow— an innovative and tailored program for women physician leaders
arrowProgram materials
arrowDaily light breakfast and lunch during the course, a welcome reception and
arrowthe farewell dinner. There will be four evenings on your own, designed to
arrowoffer time to reflect and recharge

Early bird registration fee
$2495.00 + HST* (a savings of $500.00)
arrowA limited number of spots are being held at this special rate
arrowTo take advantage of this rate, registration must be received and fee paid in full by
arrowOctober 31, 2018
arrowThe Early Bird Fee is non-refundable.

Regular registration fee
$2995.00 + HST*
arrowThe deadline for registration is February 28, 2019

Group registration fee (for groups of 3 or more)
$2695.00 + HST* per person (a savings of $300.00 per person)
arrowTo take advantage of the group registration rate, all members of the group must
arrowregister and pay in full at the same time.
arrowThe deadline for registration is February 28, 2019

Fees are payable by cheque to Peak MD Inc.
eTransfers will also be accepted.
*HST = 13%

Please mail the cheque within 30 days of date of order to:
Dr. Mamta Gautam
PEAK MD Inc
1-72 Queen Elizabeth Drive
Ottawa, ON  Canada
K2P 1E4


Cancellation policy
arrowWritten notification is required for all requests for cancellation
arrowA $30.00 administration fee will be charged for all cancellations
arrowEarly bird registrations are non-refundable
arrowRefunds will be granted based on the date of notification as indicated below:

  • 100% refund if written notice is received by December 31, 2018
  • 50% refund if written notice is received by February 28, 2019

(Refunds for Regular or Group Registration fees will not be made after February 28 2019.)


Venue
The beautiful setting of Peller Estates Winery, in Niagara on the Lake, is centrally located in Canada, and easily accessible from Toronto. The stunning vistas, award-winning dining and warm ambiance make it easy to relax and enjoy life’s simple pleasures. It is located close to many fabulous hotels, boutiques, outlet shopping, biking and hiking paths, the renowned Shaw Festival and the world-famous Niagara Falls.


Accommodation
Participants are responsible for arranging their own travel and accommodations. There are many hotels in the area. Niagara Tourism has a comprehensive listing of accommodation in this beautiful region.