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Registration InformationHiddenRegistration TypeSelect...CSN MemberAGM SpeakerAGM Speaker NFGAGM ModeratorAGM Moderator FPCPre-Course SpeakerPre-Course ModeratorCorporationCorporate PartnerCorporate Partner NFGExhibitorGuestGuest NGGuest NFPCNon-MemberStaffNon-Member PhDGala Dinner OnlyGala Dinner CompCANA Summit AttendeeCANA Summit SpeakerCANA Summit ModeratorCANA Summit GuestCANA Summit StaffHiddenMember TypeSelect...Recurring Membership: ASSOCIATE (Allied Health)Recurring Membership: ASSOCIATE (Corresponding)Recurring Membership: ASSOCIATE (Honorary)Recurring Membership: ASSOCIATE (Meritorious)Recurring Membership: ASSOCIATE (Non-Nephrologist)Recurring Membership: MEMBER MDRecurring Membership: MEMBER MD-CAPNRecurring Membership: MEMBER PhD2024 Membership: ASSOCIATE (Allied Health)2024 Membership: ASSOCIATE (Corresponding)2024 Membership: ASSOCIATE (Honorary)2024 Membership: ASSOCIATE (Meritorious)2024 Membership: ASSOCIATE (Non-Nephrologist)2024 Membership: ASSOCIATE (Trainee)2024 Membership: MEMBER (MD-CAPN)2024 Membership: MEMBER (MD)2024 Membership: MEMBER (PhD)HiddenCSN Member ID Are you a member of CKD-N?*Select...YesNoWhat best describes you?*Select...MD TraineeNon-MD Research TraineeWhat best describes you?*Select...MD (Adult Nephrology)MD-CAPN (Pediatric Nephrology)What best describes you?*Select...AdministratorDialysis TechnicianDietitianNursePhysician Assistant/Clinical AssistantPhysiotherapistPsychologistPT/OTRenal PharmacistSocial WorkerOtherPlease enter your info for "Other"* Title*Select...Prof.Dr.Mr.Mrs.Ms.Your Name* First Name Last Name Company* Registrant's Email Address* (Note: If you are filling out this form on behalf of another attendee, please enter the attendee's email address.)Phone*Gender*Select...MaleFemaleOtherRather not to sayAffiliation* (If you do not have an affiliation, enter "None")Organization* (If you are not part of a company/organization, enter "None")Are you a Community Nephrologist?*Select...YesNoPlease select your level of training*Select...PGY 1-3PGY 4PGY 5PGY 6Medical StudentPracticing NephrologistAre you actively conducting research?*Select...YesNoPlease describe your research category* Biomedical Research Bioethics Knowledge Translation Translational / Valley 1 Clinical Research Other Please enter your info for "Other" research category* Your Lab Director's Name* Your Lab Director's Email* Enter Email Confirm Email Confirm your HCP standing* By registering, I am confirming I am a healthcare professional in good standing Pre-Course Pre-Course (FREE attendance for Trainees)HiddenWill you be attending the Pre-Course on May 1st & 2nd?*Select...YesNoIf you are attending the Pre-Course, you must arrive in Montreal no later than the evening of Tuesday, April 30th.HiddenWill you be attending the Pre-Course on May 1st & 2nd?*Select...YesNoPLEASE NOTE - For CSN Members who are not Trainees, Pre-Course attendance fee is $400. - For Non Members, fee is $600. - For Non Member PhD's, fee is $300. - A valid passcode will waive the Pre-Course fee. 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