Registration Form for Richard K. Reznick Research Day - October 23rd, 2025

This event will take place at the Vaughan Estate, located at 80 Armistice Drive, Toronto ON, M4N 3M5.
Please note that this is an in-person event only, no virtual option is available.
Only a recording of the keynote talk will be made available on the website post event.

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* 1. Name

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* 2. Email Address

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* 3. Are you a member of the Wilson Centre?

Yes

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* 4. Identify your membership category

Scientist

Fellow

HPER PhD Student

Scholar

General Member

Invited Member

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* 5. Will you be presenting?

Yes

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* 6. Type of Talk (if presenting)

Podium

Lightning Talk

Future Directions

Panelist

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* 7. Title of the Talk (if presenting)

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* 8. If presenting, have you completed the disclosure forms?

Yes

If you haven't submitted your completed disclosure forms, please submit to cheryl.ku@uhn.ca

Registration Form for Richard K. Reznick Research Day - October 23rd, 2025

Question Title

* 1. Name

Question Title

* 2. Email Address

Question Title

* 3. Are you a member of the Wilson Centre?

Question Title

* 4. Identify your membership category

Question Title

* 5. Will you be presenting?

Question Title

* 6. Type of Talk (if presenting)

Question Title

* 7. Title of the Talk (if presenting)

Question Title

* 8. If presenting, have you completed the disclosure forms?

Question Title

* 9. Please list any dietary restrictions