Health Promotion Online Registration

All fields marked with an asterisk (*) are required fields.

* Course:



* Name:

* Affiliation:

                                   * Unit

                                    * Rank

                                    * Phone

                        * Email

                        * Confirm Email

* Do you require french resources?
Oui Non

Do you wish to have a confirmation email sent to your supervisor?
Yes No

           Supervisor's Email:

How did you hear about this course?

Broadcast Email     Unit Health Rep     Borden Citizen

HP Team Member     Notice Boards     Chain of Command

Other:

Comments:

Note:
You should receive an automated confirmation email within one hour of registering. If you do not receive a confirmation email, please contact our office at (705) 424-1200 x 7086.

For more information, please contact our office at (705) 424-1200 x 7086

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