Demographic Information (Optional)
By completing the section below, you help make sure our programs reach the entire community and report accurate numbers back to our funding partners, ensuring continued annual support. All information is kept confidential and is anonymously combined prior to reporting to other organizations.

Conference Fees

If using Student/ Volunteer Registration rates, please upload your proof of status or Letter of confirmation of hours from Volunteer Coordinator.

Concurrent Session Choices

Please select which concurrent sessions you will be attending. If you are registering for 1 day, please select the option that you will not be attending a concurrent session.
Thursday, September 21 - 10:00 AM
Thursday, September 21 - 11:15 AM
Thursday, September 21 - 1:15 PM
Friday, September 22 - 10:00 AM
Friday, September 22 - 11:15 AM
Friday, September 22 - 1:15 PM
Your form will be submitted and you will be redirected to to proceed with payment. You are not registered for the conference until your payment is received.
Please click this option if you are filling out the form and mailing a cheque. Cheques payable to Palliative Manitoba indicating attendee’s name.
*Maximum two delegates per Palliative Manitoba Association Member, as authorized by member contact. **Rates for full-time students only. Proof of full-time student status is required with registration form. ***Letter from a Regional/Volunteer Coordinator verifying 24 hours of volunteer service in palliative care over the last 12 months is required with registration form. Refunds subject to $40 processing fee. No refunds after September 8th. $10 fee for registrations received after September 8th.