The SPARK Institute will start on Tuesday, July 9th at 6:00 PM with a Welcome Dinner for all participants.
The workshop itself will start at 8:30 AM on July 10 and end at 4:30PM on July 11.
Flight and hotel bookings will be made on your behalf and booking reference numbers will be e-mailed to you. Please indicate preferred travel times below. We will be booking air travel on Air Canada and all participants will be staying at Inn at Laurel Point Hotel in Victoria.
Travel Information Name:
Preferred travel date/time to Victoria:
Preferred travel date/time home:
Aeroplan Number: Seat preference:
City departing from ):
Food preferences (e.g., vegetarian, halaal/allergies):
Emergency Contact
Name: Relation:
Phone: Alternative phone (optional):
Street address:
City: P/T: Postal Code:
E-mail:
N.B. The Mental Health Commission of Canada will be funding the following for each participant:
• Workshop tuition
• Travel between Victoria and your home town/city (including airport shuttle and taxi costs from Victoria airport and the hotel, gas and mileage if you are driving, intercity bus, train and/or ferry)
• Accommodation for the duration of workshop (and if necessary, one extra night to accommodate flight schedule)
• Meals during the workshop (Welcome Dinner, breakfasts and lunches plus a per diem for dinner on the night of July 10th)
If you are planning on extending your stay in Victoria, you will need to pay the difference in flight cost if the price is higher.
Please complete this form, save it and send to Lori Hager at lhager@mentalhealthcommission.ca by Tuesday, May 21, 2013.
