CANNT 2024 Conference Registration Step 1 of 2 - Introduction and Contact 50% IMPORTANT NOTESSession option choices will be circulated to registrants in September. 1st choice session options are not guaranteed and are requested for planning purposes only. Sessions will be filled onsite on a first come/first serve basis.Due to the lead time to order printed delegate materials, delegates who register after September 6, 2024 will not be guaranteed an official CANNT/ACITN 2024 delegate bag and/or materials. SPECIAL NOTES• Delegate name and provided email address will be shared with exhibitors• Some sessions may be ticketed and only those delegates pre-registered will be guaranteed seats• Scientific session handouts are provided at the discretion of the individual presenter• Business casual dress is requested• Our conference is fragrance free PRIVACY STATEMENTRegistration information is collected to process registrations and payments for educational events, correspond with registered delegates, and to publish delegate lists for event participants. If you do not wish to have your registration information used for these purposes please indicate this on the registration form. CONSENT TO USE OF PHOTOGRAPHIC IMAGESRegistration and attendance in CANNT 2023 conference constitutes an agreement by the registrant to the Canadian Association of Nephrology Nurses and Technologists (CANNT) to use the registrant's image in photographs. CONTINUOUS LEARNING ACTIVITY FOR CNA CERTIFICATIONWhile this educational activity is not officially endorsed by the Canadian Nurses Association (CNA), nurses may claim it as a continuous learning (CL) activity toward renewal of the CNA certification credential if it is related to their nursing specialty. Preauthorization from the CNA Certification Program is not required. Participants are encouraged to retain a confirmation of attendance. CANCELLATION / SUBSTITUTION POLICYS• Cancellations will be refunded less 20% administration fee with notice of cancellation being received at cannt@cannt.ca no later than September 6, 2024. No refunds will be issued after this date.• Substitutions may be made; please send notice to cannt@cannt.ca.• CANNT reserves the right to make appropriate program changes as deemed necessary and/or cancel events due to circumstances beyond CANNT's control. In the event of cancellation of the conference, only registration fees and ticket purchases paid will be refunded SOCIAL EVENTS The Friday Evening of Entertainment is not included in your registration and must be purchased as an additional item. Thursday, October 24, following the Exhibit Hall Reception This will be a free evening for you to explore the ByWard Market in Ottawa. Busses will be provided, starting at 6:45 PM and will loop until the last bus returns at 10:30 PM. Friday Evening of Entertainment, October 25 - Cost: $85.00 Tickets required Join us for a night of laughter and camaraderie at this year's Evening of Entertainment! Enjoy a delicious dinner and a Comedy Show featuring talented comedians from Absolute Comedy. It's the perfect opportunity to unwind, share a laugh with old and new friends, and make the last night of the conference truly memorable! Registration Rates: Full Conference Member $749.00 1Non-Member (includes 2-year CANNT membership) $899.00 Student $300.00 Per Day Member Per Day $400.00 Non-Member Per Day $460.00 Student Per Day $160.00 Sponsor-Exhibitor 2Sponsor Complimentary $0.00 3Exhibitor Nametag Complimentary $0.00 Exhibitor Nametag Additional $200.00 Sponsor Full $450.00 1The two-year membership will begin the day of registration once payment in full is received and will expire two years from that date. You will be contacted to complete your membership online.2Number of Complimentary registrations determined by sponsorship level.3One complimentary exhibitor nametag per booth.Contact InformationI am the registrant and will attend the conference(Required) Yes, I am an attendee No, I am registering for someone else and will not attend Contact Name(Required) Contact Organization(Required) Contact Email(Required) Registrant InformationThis is what will appear on the registrant nametag. If you are registering more than one person, you may add their information later.Name(Required) First Last Email(Required) Company/ Organization(Required) Job Title(Required) City(Required) Dietary Restrictons Preferred Phone Number(Required)Professional Status(Required) RN NP Technologist Social Worker Pharmacist Technician LPN/RPN Dietician Full-time Student Other (specify below) Other Professional Status (please specify) Area of Practice(Required) Peritoneal Dialysis Pharmacy CKD Pediatrics Education Inpatient Nephrology Hemodialysis Research Transplant Administration Other (please specify) Other Area of Practice (please specify) Is this your first CANNT Conference?(Required) Yes No Emergency ContactEmergency Contact Name Emergency Contact Daytime Phone Emergency Contact Nighttime Phone Emergency Contact Nighttime Email Full Conference Registration includes breakfast, breaks, and lunch each day, admission to the exhibit hall, and one ticket to the exhibit hall reception on Thursday October 24. Conference registration does not include the Friday evening of entertainment. You will have an opportunity to purchase this ticket later in the form. Daily Registration includes breakfast, breaks and lunch on the day registered. Exhibit Booth Staff Registration includes breakfast, breaks, and lunch on Friday, admission to the exhibit hall, and one ticket to the exhibit hall reception on Thursday October 24. Full Access Pass is available at a reduced cost for those company reps that would like to attend the conference's scientific programming, in addition to fulfilling their booth responsibilities. All fees are subject to HST @ 13% (100759869RT0001)Please enter your registration type(Required)If you are unsure of your membership status, please contact cannt@cannt.ca CANNT Member in good standing Non-member Sponsor Exhibitor Student HiddenDate MM slash DD slash YYYY Member RegistrationFull Conference registration (member rate) QuantityFull Conference Registration includes breakfast, breaks, and lunch each day, admission to the exhibit hall, and one ticket to the exhibit hall reception on Thursday October 24. Enter the number of member full conference registrations you wish to purchase. Price: $ 749.00 CAD Quantity HiddenNumber of Member RegistrationsCoupon CodeCANNT Board members and Members of the CANNT 2024 Planning Committee Discount $ 0.00 CAD Thursday Only (member rate) QuantityDaily Registration includes breakfast, breaks and lunch on the day registered. Price: $ 400.00 CAD Quantity Friday Only (member rate) QuantityDaily Registration includes breakfast, breaks and lunch on the day registered. Price: $ 400.00 CAD Quantity Saturday Only (member rate) QuantityDaily Registration includes breakfast, breaks and lunch on the day registered. Price: $ 400.00 CAD Quantity Non-member RegistrationNew This Year! Purchase of a Full Conference registration at the non-member rate includes a 2-year CANNT membership effective from your registration date. Payment in full must be received to activate your membership. Registrants will be contacted by the CANNT office to activate their membership. Please contact cannt@cannt.ca with any questions.Full Conference registration (non-member rate) includes 2-year CANNT membership* Quantity*The two-year membership will be valid from the day of registration with payment in full for two years from that date. Full Conference Registration includes breakfast, breaks, and lunch each day, admission to the exhibit hall, and one ticket to the exhibit hall reception on Thursday October 24. Enter the number of non-member full conference registrations you wish to purchase. Price: $ 899.00 CAD Quantity HiddenNumber of Non-Member RegistrationsCANNT Membership Included(Required)Full Conference non-member registration includes a complimentary two-year membership with CANNT. Please confirm you want to become a CANNT member. Yes No Friday Only (non-member rate) QuantityDaily Registration includes breakfast, breaks and lunch on the day registered. Price: $ 460.00 CAD Quantity Thursday Only (non-member rate) QuantityDaily Registration includes breakfast, breaks and lunch on the day registered. Price: $ 460.00 CAD Quantity Saturday Only (non-member rate) QuantityDaily Registration includes breakfast, breaks and lunch on the day registered. Price: $ 460.00 CAD Quantity Sponsor-Exhibitor RegistrationSponsor-Exhibitor Registration Entitlements Platinum ($15,000.00) - 4 complimentary full registrations, includes 4 complimentary Friday evening dinner tickets. Gold ($10,000.00) - 3 complimentary full registrations, includes 3 complimentary Friday evening dinner tickets. Silver ($5000.00) - 2 complimentary full registrations, includes 2 complimentary Friday evening dinner tickets. Bronze ($3000.00) - 1 complimentary full registration, includes 1 complimentary Friday evening dinner tickets. Exhibit Booth Only - 1 complimentary exhibit booth staff Full Conference Registration includes breakfast, breaks, and lunch each day, admission to the exhibit hall, and one ticket to the exhibit hall reception on Thursday October 24. Exhibit Booth Staff Registration includes breakfast, breaks, and lunch on Friday, admission to the exhibit hall, and one ticket to the exhibit hall reception on Thursday October 24.Sponsor Complimentary Full Conference Registration QuantitySponsor Full Conference Registration includes breakfast, breaks, and lunch each day, admission to the exhibit hall, and one ticket to the exhibit hall reception on Thursday October 24. This registration type also includes a complimentary Friday evening dinner ticket as outlined in you sponsorship entitlements. Price: $ 0.00 CAD Quantity Complimentary Sponsor Attendee/ Nametag InformationPlease enter the following information for all attendees. If you are registering multiple attendees click "+" to add another name.Nametag NameCompany/ InstitutionCityemailDietary restrictionsJob TitleConsent to Share Personal Information (yes/no) Add RemoveExhibitor Nametag Complimentary (one representative per booth) QuantityExhibit Booth Staff Registration includes breakfast, breaks, and lunch on Friday, admission to the exhibit hall, and one ticket to the exhibit hall reception on Thursday October 24. Price: $ 0.00 CAD Quantity Complimentary Exhibit Booth Staff Nametag InformationPlease enter the following information for all attendees. If you are registering multiple attendees click "+" to add another name.Nametag NameCompany/ InstitutionCityemailDietary restrictionsJob TitleConsent to Share Personal Information (yes/no) Add RemoveFULL ACCESS Pass for Sponsors and Exhibitors QuantityFull Access Pass is available at a reduced cost for those company reps that would like to attend the conference's scientific programming, in addition to fulfilling their booth responsibilities. Enter the number of full access passes you wish to purchase. Price: $ 450.00 CAD Quantity FULL ACCESS Pass for Sponsors and Exhibitors Nametag InformationPlease enter the following information for all attendees. If you are registering multiple attendees click "+" to add another name.Nametag NameCompany/ InstitutionCityemailDietary restrictionsJob TitleConsent to Share Personal Information (yes/no) Add RemoveAdditional Exhibitor Nametag QuantityExhibit Booth Staff Registration includes breakfast, breaks, and lunch on Friday, admission to the exhibit hall, and one ticket to the exhibit hall reception on Thursday October 24. Enter the number of additional exhibitor nametags you wish to purchase. Price: $ 200.00 CAD Quantity Additional Exhibitor Nametag InformationPlease enter the following information for all attendees. If you are registering multiple attendees click "+" to add another name.Nametag NameCompany/ InstitutionCityemailDietary restrictionsJob TitleConsent to Share Personal Information (yes/no) Add RemoveStudent RegistrationStudent Eligibility In order to qualify for the student rate you must be certified as a full-time graduate student, or not-less-than-half-time undergraduate student. Please submit the completed Student Eligibility Form and return to cannt@cannt.caFull Conference Student QuantityMust be a full time student and submit a student eligibility form. Enter the number of registrations you wish to purchase. Price: $ 300.00 CAD Quantity HiddenNumber of Student RegistrationsPer Day StudentMust be a full time student and submit a student eligibility form. Daily Registration includes breakfast, breaks and lunch on the day registered. Thursday $160.00 Friday $160.00 Saturday $160.00 Registrant Nametag InformationAdditional Registrant Nametag Information(Required)If you are purchasing more than one registration, please enter the following information for any additional attendees you are registering at this time. If you are registering multiple additional attendees click "+" to add another name.Nametag NameCompany/ InstitutionCityemailDietary restrictionsJob TitlePreferred Phone NumberProfessional StatusArea of PracticeConsent to Share Personal Information (yes/no) Add RemoveAdditional ItemsThe Friday Evening of Entertainment is not included in your registration and must be purchased as an additional item. Thursday, October 24, following the Exhibit Hall Reception This will be a free evening for you to explore the ByWard Market in Ottawa. Busses will be provided, starting at 6:45 PM and will loop until the last bus returns at 10:30 PM. Friday Evening of Entertainment, October 25 Join us for a night of laughter and camaraderie at this year's Evening of Entertainment! Enjoy a delicious dinner and a Comedy Show featuring talented comedians from Absolute Comedy. It's the perfect opportunity to unwind, share a laugh with old and new friends, and make the last night of the conference truly memorable! Cost: $85.00 Tickets required.Evening of Entertainment - Friday QuantityThis event is not included in your registration and a ticket must be purchased to attend. Enter the number of tickets you wish to purchase. Price: $ 85.00 CAD Quantity Please enter the names and dietary restrictions for the banquet tickets if purchasing for other than yourself.NameDietary Restictions Add RemoveOne ticket for the Thursday Exhibit Hall Reception is included in your registration. If you require extra guest tickets, you my purchase below. Exhibit Hall Reception Thursday - Extra Tickets QuantityOne ticket is included in your registration (except single day) - Choose only if you require extra tickets or are registering for a single day and wish to attend. Price: $ 40.00 CAD Quantity HiddenExhibit Hall Reception - Extra TicketsPlease enter the name(s) for additional Thursday Reception ticketsNameCompanyDietary Restrictions Add RemoveCheckoutConsent to share personal information(Required)Registration information is collected to process registrations and payments for educational events, correspond with registered delegates, and to publish delegate lists for event participants. In the case of non-member full conference registrations, this information will be used for your included CANNT membership registration. If you do not wish to have your registration information used for these purposes, please indicate this on the registration form. Yes No Subtotal $ 0.00 CAD HST @ 13% (100759869RT0001) $ 0.00 CAD Total Payment Method(Required) I will pay by credit card I would like to be invoiced to pay by another method Credit CardCard Details Cardholder Name
