If you experience any technical difficulties when using this form or if you have registration
questions, please contact the Canadian Paediatric Review Program at:
schrodermi@paediatricreview.ca
Section A - Delegate Information
Section B - Delegate Registration
Registration fees include all programming from Monday, May 5, 2025 to Friday, May 9, 2025.
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. All rates are subject to HST.
Please select a registration type.
Section C - Payment Information
Please verify all the information is correct. By submitting your payment, your credit card statement
will show this transaction as Canadian Paediatric Review Program.
Cancellation Policy - All cancellations must be received in writing no later than
April 14, 2025 for a full refund, less an administrative fee of $100.00. 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 C.P.R.P. – Paediatric Review Program Inc. (referred to
herein as “CPRP”)
to digitally
video record, videotape,
digitally audio record and/or photograph me while I am attending and participating in the CPRP.
I further consent to CPRP
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 CPRP 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 CPRP 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 CPRP 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 CPRP and its agents and assigns shall have the right to cancel or convert to a
virtual event any event
offered or organized by CPRP 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 CPRP and its agents and assigns. I hereby further release MCH 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 CPRP 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 CPRP and its agents and assigns permitting me to participate in any capacity
whatsoever in the CPRP
(including but not limited to participation as an attendee or speaker), I hereby agree to the following
terms:
- I expressly warrant and represent that by attending the CPRP program I am knowingly, freely and
irrevocably assuming
all risk while participating in and or attending the CPRP, 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
CPRP and its agents and assigns
or otherwise.
- None of CPRP 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 CPRP program, including my travel time to and from the CPRP program.
- 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 CPRP
program.
- 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 or virus), damage or
loss sustained by
me while participating in or attending the CPRP program.
- I understand that it is a condition of my participation in the CPRP program 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 CPRP
program and I am free to decline participation if these terms are not acceptable to me.
- While attending the CPRP program 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.
- I agree that regardless of actual causation, I am solely responsible for my safety while participating
and attending
the CPRP program.
- I understand that this is an exam preparation course and that CPRP is not liable for my individual
test results
and/or failure of any professional exam as a result of participating in this program.
- I shall not disclose, share, distribute or reproduce any course material or any provided passwords I
receive from the
CPRP 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
By completing this registration, you confirm that access to the program and its materials is for your individual use only.
User Agreement
By participating in this program, you agree to the following terms:
- You will not share your login credentials with anyone.
- You will not broadcast or display the program to others in any form, whether live or recorded.
- You will not record, save, or capture any portion of the sessions.
- You will not distribute, sell, or share any program materials with others.
Access Revocation
We reserve the right to revoke access to the program without compensation if we detect any overuse, misuse, or unauthorized sharing of materials.
Liability Disclaimer
No liability is assumed for any changes in program dates, content, or speakers, nor for the cancellation of the event or technical difficulties that may arise.