Begin Registration : Champlain Maternal Newborn Regional Program

Registration for the Perinatal Nursing Leaders Community of Practice (CMNRP partners only)

Ongoing

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Registrant info

Salutation
* First Name
* Last Name
* Email Address
* Company / Institution Name
Phone Number
* City
* What is your role in your organization?
* What is your area of specialty? Click on all that apply.
	Prenatal Labour and birth Maternal child Neonatal Breastfeeding Public health Community health All perinatal Other
* I agree that CMNRP can share the contact information provided in this form with other CoP members.
	Yes No
* I would like my email address to be added to the CMNRP weekly news distribution list.
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