CLE Registration Form Page 1 of 2
C
LE REGISTRATION FORM
This 2-PAGE form is for individual registrations only. For group registrations, please call 416-597-9724 or email
osgoodepd@osgoode.yorku.ca.
Please complete and submit by email osgoodepd@osgoode.yorku.ca, fax (416) 597-9736,
or mail to Osgoode Professional Development, 1 Dundas West, 26
th
Floor, Toronto, Ontario, M5G 1Z3.
Program Name
Program Date
Attendance Option (Please refer to
program brochure/website for options
available.)
How did you hear about this program?
First Name
Last Name
Position Title
Year of Call (if applicable)
Primary Practice Area
Company/Firm/Organization Information
Company/Firm/Organization Name
Full Mailing Address
(including City, Province, Postal Code)
Telephone
Email Address
Secondary Email Address to be included
in registration communication
(Example: Assistant)
NOTES (Extra Registration Details)
(i.e. dietary restrictions, GST/HST
exemption number, applicable
discount/code):