Hamilton Information Session, September 21, 2015 (Anaphylaxis: what you need to know)

REGISTRATION:

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* 1. LAST Name

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* 2. FIRST name

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* 3. Email Address

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* 4. I am interested in food allergy as (check all that apply):

I have food allergies

My child has food allergies

Someone I know has food allergies

Other: Please specify

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* 5. Will you be attending with any guest(s)?
Maximum number of guests, up to 3 people.

Yes

No

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* 6. If YES, please provide their names.

Guest 1

Guest 2

Guest 3

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* 7. I learned about this session from:

Food Allergy Canada

Other: Please specify