VMMCS Fishing Friday & Research Fund Raiser

VMMCS Fishing Friday & Research Fund Raiser

Suggested Registration Fee 20.00
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
The Veterans Memorial Medical Centre Society is seeking to gain the critical data that will necessitate the development of our goal "one stop shop transition medical clinic for veterans."

Registration Payment can be sent via E-Transfer to support@vmmcs.ca (auto deposit ready)

Safety Brief includes - your safety and the veterans safety is discussed

We ask you to fill out the short questionaire below
Do you or participating veteran require family doctor?
Do you or participating veteran require veterans affairs case manager?
Do you or participating veteran require a specialist?
Do you or participating veteran require rehab services?
Could you or participating veteran use respite?
How many would make use of a veteran specific multi disciplinary medical centre that you know
Should be Empty: