Name *

First Name

Last Name

Registration Type *

Faculty or Other Professional - Early (before Oct 15, 2024: $350)

Faculty or Other Professional - Regular (after Oct 15, 2024: $400)

Early Career Faculty or Professional (<5 years in role) - Early (before Oct 15, 2024: $300)

Early Career Faculty or Professional (<5 years in role) - Regular (before Oct 15, 2024: $350)

Student/Trainee - Early (before Oct 15, 2024: $150)

Student/Trainee - Regular (after Oct 15, 2024: $175)

Retiree - Early (before Oct 15, 2024: $150)

Retiree - Regular (after Oct 15, 2024: $175)

Dietary Restrictions (please note that we will do our best to accommodate any dietary restrictions but cannot guarantee that we will be able to do so)

Vegetarian

Vegan

Gluten-free

Dairy-free

Nut-free

None

Do you plan to attend the CAPE dinner the evening of Nov 6th (at an additional cost)?

Yes/Oui

No/non

Do you plan to attend the trainee pre-conference event at a location close to the conference venue from 4-7pm on Tuesday, Nov 5th 2024 (details to follow)

Yes/Oui

No/Non