February 22 - 26, 2021 INTERACTIVE LIVE VIRTUAL PROGRAM

Registration


If you experience technical difficulties when using this form or if you have registration questions, please contact General Surgery Review Program at:
adm@generalsurgeryreview.ca

Section A - Delegate Information




I have completed or will be completing my training in 2021:



Section B - Delegate Registration

Registration fees include all programming from Monday, February 22 to Friday, February 26, 2021. Session video recordings will be made available to attendees after the program for a limited time. All amounts are in Canadian dollars. No session selection is required. There is no option to purchase one-day passes.

Attendee Early Bird Pricing

On or before Dec 11
(with accompanying payment)

Regular Pricing

Dec 12. and later
 

$1,000.00 $1,200.00
$1,200.00 $1,400.00
$1,200.00 $1,400.00
$1,500.00 $1,700.00
*All rates are subject to HST



Section C - Payment Information

Please verify all the information is correct. By submitting your payment, your credit card statement will show this transaction as General Surgery Review Program.

Cancellation Policy - All cancellations must be received in writing no later than February 5, 2021 for a full refund, less an administrative fee of $200.00. No refunds will be issued after this date. We will not be able to issue refunds due to technical issues experienced due to a poor internet connection or your equipment not meeting the technical requirements.




Section D - Participant Consent & Release Agreement

(Please scroll to the end and click on I AGREE checkbox after reading.)

CONSENT TO BE VIDEO RECORDED, AUDIO RECORDED, PHOTOGRAPHED, RECORDED AND/OR TO HAVE PUBLIC DISCLOSURE OF INFORMATION, AND WAIVER OF CONFIDENTIALITY FOR MEDIA PURPOSES.

I hereby give my permission and express written consent to General Surgery Review Program (referred to herein as “GSRP”) to digitally video record, videotape, digitally audio record and/or photograph me while I am attending and participating in the GSRP. I further consent to GSRP and its agents and assigns exhibiting, showing, re-producing, publishing, displaying, transmitting and other uses of all such video and audio recordings and photographic images in any media whatsoever in Canada or elsewhere, including presentations made for medical, scientific, educational and related marketing purposes.

I further acknowledge, confirm and agree that I shall have no right to inspect or approve any video and audio recordings and/or photograph(s) of me prior to it or their use by GSRP or its agents and assigns in any manner and confirm and agree that I will receive no financial compensation arising from such use, including, without limitation, my providing services as a model.

I hereby fully and finally release GSRP and its agents and assigns from any and all liability directly or indirectly arising out of the video and audio recordings and photographic images made and/or taken of me including, without limitation, how such recordings and images are used by GSRP and its agents and assigns, the final form of such recordings and photographs and the timing, method and basis of it or their publication and distribution.

I acknowledge that GSRP and its agents and assigns shall have the right to cancel or convert to a virtual event any event offered or organized by GSRP or its agents and assigns for which I may register to attend up to and including the day immediately prior to the scheduled commencement date of such event by email notification to me at the last email address I have electronically delivered to GSRP or its agents and assigns. I hereby further release GSRP and its agents and assigns from any and all claims relating directly or indirectly to such cancellation that I or my heirs, executors and administrators may have and hereby confirm and agree that GSRP and its agents and assigns shall at no time be liable to me or my heirs, executors and administrators for any direct or consequential losses, damages, expenses or costs which I may suffer or incur as a result of a cancellation, including, without limitation, unnecessary travel expenses and loss of income.

WAIVER OF LIABILITY AND ASSUMPTION OF RISK ACKNOWLEDGEMENT

In consideration of GSRP or its agents and assigns permitting me to participate in any capacity whatsoever in the GSRP (including but not limited to participation as an attendee or speaker), I hereby agree to the following terms:

  1. I expressly warrant and represent that by attending the GSRP I am knowingly, freely and irrevocably assuming all risk while participating in and or attending the GSRP, in any manner whatsoever, regardless of how, where or when I may incur or sustain any injury, damage or loss, and whether or not resulting from the negligence of GSRP and its agents and assigns or otherwise.
  2. None of GSRP or its directors, officers, employees, agents or assigns (the “Releasees”) shall be liable nor held responsible in law by me, or my heirs, executors, assigns and any legal or personal representatives for any physical bodily injury (including, without limitation, loss of life or limb, and contracting any communicable disease or virus), damage or other loss (including but not limited to economic loss) incurred by me, however sustained or incurred at any time during my participation or attendance at the GSRP, including my travel time to and from the GSRP.
  3. I hereby irrevocably release and hold the Releasees harmless in respect of any and all liability for and in respect of my physical injuries (including, without limitation, loss of life or limb, and contracting any communicable disease or virus),, and/or economic loss derived from my participation and involvement, in any manner, in the GSRP.
  4. Once I have agreed to this Participant Consent and Release Agreement, it will constitute a full answer and defence in favour of the Releasees in relation to any claim that I may advance against same for any physical injury (including, without limitation, loss of life or limb, and contracting any communicable disease, virus), damage or loss sustained by me while participating in or attending the GSRP.
  5. I understand that it is a condition of my participation in the GSRP that I must agree to the terms of this Participant Consent & Release Agreement and that I am under no requirement or compulsion to participate or attend the GSRP and I am free to decline participation if these terms are not acceptable to me.
  6. While attending the GSRP I agree to abide by all rules posted or otherwise provided to me, as well as all applicable federal, provincial and municipal laws and regulations.
  7. I agree that regardless of actual causation, I am solely responsible for my safety while participating and attending the GSRP.
  8. I understand that this is an exam preparation course and that GSRP is not liable for my individual test results and/or failure of any professional exam as a result of participating in this program.
  9. I shall not disclose, share, distribute or reproduce any course material or any provided passwords I receive from the GSRP to any third party and acknowledge and agree that any breach whatsoever will result in no longer having access to all materials provided.

I have read the foregoing Participant Consent & Release Agreement and confirm and agree that I fully understand its contents. I hereby warrant that I am of legal age and am competent to contract. I hereby provide and deliver both my express and informed consent as stated above and my agreement with the terms as outlined above by clicking on the I AGREE button/box as presented on this website and confirm that this Participant Consent & Release Agreement when given in this manner shall be forever binding upon me.


Virtual Event Terms and Conditions

  • No participant shall share their login credentials.
  • No participant shall record, save, share or post any portion of the sessions.
  • No participant shall sell any materials.
  • No liability is assumed by the GSRP for changes in program dates, content or speakers, cancellation of the event, and/or technical difficulties.

I consent to have my name, address and email added to the mailing database which will be used to communicate program details and upcoming conferences: