Propel Rx Classroom Registration Form

Classroom Registration Form
Please review the Propel Rx Agenda for information on the topics trained!
Applicant Information
Name*

First NameLast Name
Email Address*
example@example.com
Your Phone Number*

Area CodePhone Number
Your role in the dispensary*
Do you have any experience with PharmaClik Rx/Propel Rx? If so, how many years?*
Store Information
Store Name*
PTS Store PID (Pharmacy ID Number - 4 digits)*
Store Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address 2

CityProvince

Postal Code
Classroom Location
Please choose which classroom location you are attending.*

Ontario (2300 Meadowvale Blvd, Mississauga)Alberta (10931 177 St NW, Edmonton)

Ontario Course Selection

Course fee: $350+tax (per person)
Which session are you registering for?*

Wednesday January 21, 2026 (9:30am to 4:30pm)Wednesday February 18, 2026 (9:30am to 4:30pm)Wednesday March 18, 2026 (9:30am to 4:30pm)

Alberta Course Selection

Course fee: $350+tax (per person)
Which session are you registering for?*

Tuesday January 13, 2026 (9:30am to 4:30pm)Tuesday February 10, 2026 (9:30am to 4:30pm)Tuesday March 10, 2026 (9:30am to 4:30pm)

Sign Off

Please have an authorized individual sign off.
Authorizing Person's Name*

First NameLast Name
Authorizing Person's Email*
example@example.com
Today's Date*

MonthDayYear
Date
Authorizing Signature*

Clear
Should you wish to speak with our training team, please reach out to ptslearning@mckesson.ca

The applicant and authorizer will receive a confirmaiton email from ptslearning@mckesson.ca with the final details.
Should be Empty:

Classroom Registration Form