Atlantic Canada Oncology Group

ACOG Registration

full Early Bird Registration to Friday, May 31, 2025, will be $150.00 for physicians and pharmaceutical sponsor representatives, $75.00 for all others and $50.00 for residents and students.

Registration after May 31, 2025, will be $175.00 for physicians and pharmaceutical sponsor representatives, $100.00 for all others and $75.00 for residents and students.

Registration fee will cover meals as noted in program however registration after Friday, May 31, 2025, will not cover the Friday, June 20 Evening Dinner. No refunds for cancellation of registration will be issued after June 7, 2025.

Please also click “Associated Meetings” tab for information on
how to register for CAGPO, CANO & Atlantic Radiotherapy.

For additional information, contact our meeting planner:

Dana Bartlett

Co-ACOG Event Coordinator

PO Box 151

Marysvale, NL A0A 2Z0

E-mail: acogsymposium@ gmail.com

Payment by Cheque, Money Order, or e-transfer to acogsymposium@gmail.com

Register Here - Symposium seating is limited. Please register early. Please note conference dress is casual.

Name

Email Address

Position/Title

Address

Telephone - Office/Landline Telephone - Mobile - leave blank if none

Telephone - Mobile - leave blank if none

Fax - leave blank if none

Will you be attending the dinner at the Waterfront Warehouse on Friday evening, June 20, 2025? Will you be attending the dinner at the Waterfront Warehouse on Friday evening, June 20, 2025? Yes No

If yes, please indicate entrée choice for yourself If yes, please indicate entrée choice for yourself Lobster Chicken Vegetarian

If you would like to bring a guest(s) to the Friday evening dinner, there will be an additional charge of $80.00 per person. Please indicate your intention below and include additional cost, if applicable, with your registration fee. Will you be bringing a guest(s) to Dinner on Friday evening, June 20, 2025? If you would like to bring a guest(s) to the Friday evening dinner, there will be an additional charge of $80.00 per person. Please indicate your intention below and include additional cost, if applicable, with your registration fee. Will you be bringing a guest(s) to Dinner on Friday evening, June 20, 2025? Yes No

Number of Guest (s)

If yes, please indicate entrée choice for guest 1: If yes, please indicate entrée choice for guest 1: Lobster Guest 1 Chicken Guest 1 Vegetarian Guest 1

Entrée choices for 2 guests: Entrée choices for 2 guests: Lobster - Guest 1 Chicken - Guest 1 Vegetarian - Guest 1 Lobster - Guest 2 Chicken - Guest 2 Vegetarian - Guest 2

Entrée choices for 3 guests: Entrée choices for 3 guests: Lobster - Guest 1 Chicken - Guest 1 Vegetarian - Guest 1 Lobster - Guest 2 Chicken - Guest 2 Vegetarian - Guest 2 Lobster - Guest 3 Chicken - Guest 3 Vegetarian - Guest 3

Entrée choices for 4 guests: Entrée choices for 4 guests: Lobster - Guest 1 Chicken - Guest 1 Vegetarian - Guest 1 Lobster - Guest 2 Chicken - Guest 2 Vegetarian - Guest 2 Lobster - Guest 3 Chicken - Guest 3 Vegetarian - Guest 3 Lobster - Guest 4 Chicken - Guest 4 Vegetarian - Guest 4

If you or your guest(s) have any special dietary accommodations please provide the details here. Be very specific. e.g. No mussels for guest one (perhaps even include their name)

Children’s meals June 20, 2025 (chicken fingers & fries, small beverage and scoop of ice-cream) are available at an additional charge of $25.00 per child (age 12 and under). Please indicate your intention below and include additional cost, if applicable, with your registration fee. Children’s meals June 20, 2025 (chicken fingers & fries, small beverage and scoop of ice-cream) are available at an additional charge of $25.00 per child (age 12 and under). Please indicate your intention below and include additional cost, if applicable, with your registration fee. Yes No

Number of Children

If your children have any special dietary accommodations please provide the details here. Be very specific. e.g. No mussels for guest one (perhaps even include their name)

Any other information you wish to share?

11 + 10 =