TRaCS Conference 2016
Managing Trauma: Updates on Intervention Strategies
Singapore, Changi General Hospital, TRaCS
22-24 June
Pre-Conference Workshops and Conference
Course
Workshop 1: Managing Trauma in Children and Youths
Workshop 2: Cognitive Processing Therapy
Workshop 3: Managing Trauma in Adult
TRaCS Conference
Date
22
22
23
24
Jun
Jun
Jun
Jun
(Wed)
(Wed)
(Thurs)
(Fri)
Time
Venue
9 - 5pm
CGH, Training
Centre, Level 1
Registration & Payment
1. Limited seats available and will be on a first come first served basis. Registration Deadline: 31 May 2016
2. Please register with Mr Tan Kah Leong. Email: Kah_Leong_Tan@cgh.com.sg; DID: 6850 4481
3. Registration will only be confirmed upon full payment of fees. Registration fees are non-refundable, but
replacements are acceptable.
4. Do ensure your cheque is crossed and made payable to "CHANGI GENERAL HOSPITAL PTE LTD"
5. Write your name and contact number on the reverse of your cheque and enclose the registration form.
6. If your payment is for more than one participant, do clearly state the name(s) of the participant(s)
7. All cheques should be mailed to: Mr Tan Kah Leong, TRaCS, CHANGI GENERAL HOSPITAL PTE LTD,
2 SIMEI STREET 3, SINGAPORE 529889
Choose ONE option;
I wish to attend (please )
Workshops and Conference
Total Price, Per Pax
(Includes GST)
Workshop 1
$400
Workshop 2
$400
Workshop 3
$400
Conference
$350
Workshop 1 & workshop 3
$800
Workshop 2 & workshop 3
$800
Workshop 1 & Conference
$550
Workshop 2 & Conference
$550
Workshop 3 & Conference
$550
Workshop 1, workshop 3 & Conference
$950
Workshop 2, workshop 3 & Conference
$950
# group discount: sign up in a group of 6 for a total price of 5 (group sign up must subscribe to same course)
# cost includes morning, afternoon tea & lunch on all the training days
For individual registration
Prof / Assoc Prof / Asst Prof / Dr / Mr / Mrs / Mdm / Ms (Please circle)
Name:
Mobile:
Designation:
Email:
Name of Organization:
Cheque#:
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For group registration
Prof / Assoc Prof / Asst Prof / Dr / Mr / Mrs / Mdm / Ms (Please circle)
Name:
Mobile:
Designation:
Email:
Name of Organization:
Cheque#:
Prof / Assoc Prof / Asst Prof / Dr / Mr / Mrs / Mdm / Ms (Please circle)
Name:
Mobile:
Designation:
Email:
Prof / Assoc Prof / Asst Prof / Dr / Mr / Mrs / Mdm / Ms (Please circle)
Name:
Mobile:
Designation:
Email:
Prof / Assoc Prof / Asst Prof / Dr / Mr / Mrs / Mdm / Ms (Please circle)
Name:
Mobile:
Designation:
Email:
Prof / Assoc Prof / Asst Prof / Dr / Mr / Mrs / Mdm / Ms (Please circle)
Name:
Mobile:
Designation:
Email:
Prof / Assoc Prof / Asst Prof / Dr / Mr / Mrs / Mdm / Ms (Please circle)
Name:
Mobile:
Designation:
Email:
Page | 2 of 2