ARC Regional West 2025
Please fill out this form to complete your registration
Identification as it appears on your travel document
(Required)
First name
Middle name
Last name
Date of birth
(Required)
MM slash DD slash YYYY
Gender
(Required)
Select
Male
Female
Undisclosed
Unspecified
Email
(Required)
Phone number
(Required)
Clinic name
(Required)
Your Territory Manager
(Required)
Select
Flint Lucas
John Stephen
Penny Steffen
Shane Jahnke
Do you have any dietary restriction?
(Required)
Yes
No
Please indicate your food allergies
(Required)
License number
This number will appear on your participation certificate
R.A.C.E. Certifications approved for continuing education.
I will attend the event on the following dates:
(Required)
August 6th - Visit of UBC Dairy Research Center and welcome dinner
August 6th - Welcome dinner only
August 7th - Continuing education day
August 7th - Group Dinner at The Black Forrest Restaurant
August 8th - Activity Day (to select below)
Select All
What is your sweater size? (a nice fleece sweater will be given to all participants)
(Required)
Select
XS
S
M
L
XL
2XL
3XL
4XL
For measurements reference, here is the sizing chart (for mobile, click to enlarge)
Activity
Please select your preferred activity for August 8th
(Required)
Please Select
Sturgeon fishing on a jet boat (4 persons per boat)
Hotel Heated pools & Spa
I need to head home early so I will have to very sadly miss out on the activities
Address
(Required)
In order to provide you with a fishing license, we need your full home address.
Street Address
Address Line 2
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Travel Arrangements
Do you want us to book your flights?
(Required)
Please select
Yes, please
No, Thank you
If yes, what are you prefered travelling hours on August 6th?
Between 5AM and 12PM
12PM and 5PM
5PM and 12AM (You will not be able to attend the welcome dinner)
If yes, what are you prefered travelling hours on August 8th?
Between 5AM and 12PM (you will not be able to go fishing)
12PM and 5PM (you will not be able to go fishing)
5PM and 12AM
Which Airport is closer to your departure point?
Areroplan Number
Any requirements for the flights? (seat location, etc..)
Questions?
Comments
This field is for validation purposes and should be left unchanged.
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Vetoquinol Canada Education