(optional) Workshop Registration – Developmental Disabilities Consulting Program

Workshop Registration

International Collaboration on Dual Diagnosis Workshop

Date: June 10-14, 2019

Donation: $1500 Cdn (includes workshop, accommodation & breakfast/lunch)

Once registered, your letter of invitation will be forwarded electronically within 3 business days to the email you provide. Your donation ($1500 Cdn) to support the collaborative workshop must be received by May 1st. 

*You are responsible for applying and confirming VISA travel documents to attend*

Once you submit your registration form, please return to this page and click this link to submit your donation: http://psychiatry.queensu.ca/

*Important* Instructions:

  • Please click the link above and click the button 'DONATE' in the top right corner of the screen
  • Please enter donation amount ($1500) under: The Psychiatry Trust Fund
  • Relationship to Queens- identify yourself as a 'friend' 
  • Click yes 'I allow Queen's to recognize me by name through various recognition opportunities such as university-wide, faculty and departmental publications/websites/'
  • Please ignore Spouse/Partner Information box
  • Please ignore Legacy Information
  • Open 'Dedicate my Gift' and select 'In honour of....'
  • Under 'Person to Recognize' enter: Developmental Disabilities
  • Finally, select DO NOT authorize Queen's to notify any person of my gift.
  • Continue to payment