Deadline for Registration: March 16, 2018

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
arrowMost meals, other than 3 evenings on your own designed to offer time
arrowto reflect and recharge

The program fee for the 6-day Retreat is $2995 + $389.35 HST = $3384.35
Payable by cheque or money order to Peak MD Inc. eTransfers will also be accepted.

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

Queen’s Landing
155 Byron Street, Niagara on the Lake, ON  L0S 1J0

To reserve a room at the group rate, please confirm your reservations by calling the Hotel’s Reservation Department at 1-888-669-5566 or through the Hotel’s website www.vintage-hotels.com/reservations.htm, on or before the reservation deadline of March 22, 2018

Accommodation and travel arrangements are the responsibility of the participant.