Champlain Maternal Newborn Regional Program

Registration for the Perinatal Nursing Leaders Community of Practice (CMNRP partners only)
Ongoing
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Information sur le participant

Salutation
* Prénom
* Nom de famille
* Courriel
* Nom de la compagnie \ institution
Numéro de téléphone
* Ville
* 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.
Oui
Non
* I would like my email address to be added to the CMNRP weekly news distribution list.
Oui
Non
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