Saskatchewan Brain Injury Association
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Events
Spring Retreat Registration
Register Online:
Please make sure that you fill out all fields that apply.

Name:
Email Address:
Confirm Email Address:
Phone:
Chapter:
Address:
City:
Province:
Postal Code:
Special Dietary Needs:
Family Member or Roomate Staying with you:
Name of Emergency Contact:
Emergency Contact Phone Number:
If you have any mobility and/or other special needs please specify below :
Registration Fees:
Not in Hotel: $40 for Members, $50 for Non-Members
In Hotel: $50 for Members, $60 for Non-Members

Please make checks payable to the Saskatchewan Brain Injury Association and mail to:

Saskatchewan Brain Injury Association
P.O. Box 3843
Regina, SK S4P 3Y3
Canada

Pay online by clicking the Donate button and indicate "Spring Retreat registration" in the comments section.