Registration Form for Speakers

Your story could change a life!

Operation back to school takes place october 2019 to april 2020

Speaker registration form

You will receive a confirmation by email.

Information:

ore@ccmm.ca

Tel.: 514 871-400, ext. 4095

* Required Fields

Salutation
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Language of the presentation
Areas you are willing to travel to (you can choose more than one)
Are you available to give more than one talk?
What is your specialty/professional profile? Choose all domains expertise that fit your profile. *
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Did you ever consider quitting school?
During what months betweeen october and april would you be available for a presentation? *
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In what language would you like us to contact you?
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