the registration form

Wellness for Women – W2
Call to all women:
W2 Planning
Committee
Amy Griffith
Beverly Valenta
Hannah Higgins
Julia Fortunato
Julia Lepera
Sherry Purcell
Shuyee Tham
Venus Reid
Alex McGillivray
Colin Patterson
Julia Sek
On behalf of Hemophilia Ontario, I would like to extend an invitation to you and all
women who are affected by inherited bleeding disorders.
The fourth edition of Wellness for Women – W2 is planned for the weekend of May
23-24, 2015, at McMaster University in Hamilton, Ontario. The weekend is open to
women ages 12 and up affected by inherited bleeding disorders. Informative
workshops will be presented throughout the weekend by dynamic experts from
across the province. The exciting program and registration information have been
included in this package.
Hemophilia Ontario and its partners are pleased to offer this opportunity to you for
a minimal registration fee of $50.00. Your registration and fee must be received by
Wednesday April 29, 2015.
We encourage you to register online at www.wellnessweekend.ca or with the
enclosed registration form.
Laura Tomkins
Matthew Maynard
Sarah Crymble
Stephanie Morrison
Susan Turner
We are very excited about the educational value and opportunity for networking
provided by this conference. It will include carriers, caregivers, partners, and women
living with inherited bleeding disorders. Please join us and invite others to benefit
from participating in this life-changing experience.
Terri Lee Higgins
For further information, contact your local Regional Service Coordinator or the conference coordinator, Laura
Tomkins at 1-888-838-8846 ext. 14 or [email protected].
This is an event that you will not want to miss!
Sincerely,
Julia Sek
President
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Welcome to the Women's Wellness Weekend 2015!
Let us be the first to extend a warm and enthusiastic welcome to the 4th bi-annual Wellness for Women
Weekend! We are excited to have you here, one woman to another.
This conference was created for women, by women, and is designed for you to engage with other women
from the inherited bleeding disorders community. This is the ONLY women’s conference on inherited bleeding
disorders in Ontario. We want you to join us in feeling proud by celebrating, sharing, and learning all things
“woman”.
This weekend has been designed, through individual breakout sessions, to fit the needs of women throughout
various stages of their life, from young adulthood, to motherhood, through to the golden years. We encourage
you to seek out your own purpose for attending this conference and connect with other fearless females.
We would like to thank our planning committee and staff, who dedicated their time and passionate thoughts,
to our cause and for our community. We’d also like to thank the pharmaceutical companies, Baxter and
Octapharma for their generous donations, but most importantly, we want to thank you for joining us!
Together, we are all focused and determined to make a difference for the future of women affected by
inherited bleeding disorders.
Enjoy, relax, and take care.
All the best,
Laura Tomkins
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WELLNESS FOR WOMEN – W2
May 23-24, 2015
REGISTRATION
We would love to have you at Wellness for Women 2015! Please complete the following information and
return all forms and payment by April 29, 2015 in the enclosed envelope.
Please note:


The registration fee is non-refundable.
Registration opens at 10:00am on Saturday May 23rd and the conference ends at 2:15pm on Sunday May 24th
CONTACT INFORMATION
Name: __________________________________________________________________________________
Address: _________________________________________________________________________________
City:
Prov:
Postal Code:
________________________________________________________________________________________
Tel:
Email:
________________________________________________________________________________________
EMERGENCY INFORMATION
Name: __________________________________________ _________________________________________
Address: __________________________________________________________________________________
City:
Prov:
Postal Code:
________________________________________________ _________________________________________
Tel:
Email:
_________________________________________________________________________________________
TYPE OF INHERITED BLEEDING DISORDER
If affected, please indicate your type of inherited bleeding disorder below:
If parent or spouse of an affected person, please indicate the type of inherited bleeding disorder below:
__________________________________________________________________________________________
MEALS
*Please note that all meals are buffet style. Should you have any allergies or dietary restrictions, please list
them in the area provided below:
__________________________________________________________________________________________
__________________________________________________________________________________________
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ACCOMMODATION
A block of rooms has been reserved for W2; we will take care of all room booking.
Please indicate below your choice for accommodations:

No accommodation needed

One night accommodation in double room

One night accommodation in single room*

Friday night accommodation (limited rooms available for out of town guests who are required to
arrive Friday)
I would like to share a room with ___________________________________________________________.
*A surcharge of $34.00 for Single Room Occupancy will be added if you choose single accommodation. We
encourage you to share a room with another conference participant.
PARKING
Parking is available at the venue for $10 a day. Parking does not grant in/out privileges. Financial assistance
for parking may be available. Please indicate here if you will require financial assistance for parking. 
REGISTRATION FEE - $50.00 Non-Refundable for each participant
*If you require financial assistance to attend the conference, please contact Laura Tomkins (see contact info).
What your $50 registration fee covers:
 Guaranteed participation
 Accommodations
 Meals
Please make your cheque payable to: Hemophilia Ontario
OR
Type of credit card:____________________________
Credit Card #:_________________________________
Amount: _____________________________________
Expiry date:___________________________________
Cardholder Name:_____________________________
Signature: ___________________________________
OR
Online: www.wellnessweekend.ca
I would like to receive my confirmation and additional information by:
mail 
email 
Please mail, email, or fax all completed information and payment to:
Attention: Susan Turner
Hemophilia Ontario
65 Wellesley St. East, Suite 501
Toronto, ON M4Y 1G7
Fax: 1-888-958-0307
[email protected]
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Conference Schedule
Saturday, May 23, 2015
10:00 – 11:00
AM
11:00 AM –
12:00 PM
12:00 – 12:45 PM
12:45 – 1:30 PM
Arrival and Registration (In Front of Lecture Theatre)
Medical Keynote Speaker –Dr. Michelle Scholzberg (Lecture Theatre)
Lunch (CENTRO @ Commons)
Breakout Sessions
1) Barb Peters- Women In Touch Support Program (Classroom 1)
2) Kat Downey- Effective Estate Strategies (Classroom 2)
3) Julia Sek- Aging with a Bleeding Disorder (Lecture Theatre)
4) Youth Led Topics- Period Talk, followed by Parent & Youth Chat (Classroom 3)
1:35 – 2:20 PM
Repeat Breakout Sessions
2:20 – 2:50 PM
Nutrition and Check In Break
2:50 – 3:35 PM
Keynote Speaker- Nate Seroski- Child Life Specialist (Lecture Theatre)
3:40 –4:40 PM
Keynote Speaker – Yvette Perreault (Lecture Theatre)
4:45 – 5:45 PM
Yoga OR Nature Walk
5:50 – 6:30 PM
Dinner (CENTRO @ Commons)
6:40- 8:00 PM
Trivia (Lecture Theatre)
8:00- 9:30 PM
Campfire
Sunday, May 24, 2015
7:00 – 8:00 AM
8:00 – 9:00 AM
9:00 – 10:15 AM
10:15 – 10:30
AM
10:30 – 11:00
AM
11:00 – 11:15
AM
11:15 AM –
12:15 PM
12:15-1:15 PM
1:15- 2:15 PM
Yoga OR Nature Walk
Breakfast
Personality Dimensions Activity (Lecture Theatre)
Infusions Records Review (Lecture Theatre)
Hemophilia Ontario Programs Review (Lecture Theatre)
Break
Keynote Speaker- Paula Morand- Unleashed for Impact (Lecture Theatre)
Lunch (CENTRO @ Commons)
Check Out
*Please note: this program is subject to change
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Wellness for Women - W2 Housekeeping
VENUE CONTACT INFORMATION
McMaster University
1280 Main Street West
Hamilton, ON L8S 4K1
905-525-9140
ww.mcmaster.ca
VOLUNTEER OPPORTUNITY
The W2 Conference offers a wonderful opportunity for young women who need to fulfill their volunteer
requirements for a High School Diploma. Volunteer opportunities are also available for women of all ages. If
you or someone you know would like to volunteer, please contact your Regional Service Coordinator.
Volunteer opportunities include being a greeter or helping with registration Saturday morning, preparing and
helping set up rooms before, during, and after sessions, or introducing and thanking speakers.
Thank you for your time and participation! If you require any further information, please see the contact list
on reverse.
Thank you to our generous sponsors
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Hemophilia Ontario Staff
Contact Information
Executive Director
Hemophilia Ontario
Terri-Lee Higgins
186 King Street East, Suite 30
London ON, N6A 1C7
Tel. (519) 432-2365
Fax. 1-888-958-0307
Email: [email protected]
Central West Ontario Region (CWOR)
Alexsandra McGillivray
Regional Service Coordinator
10 George Street, 4th Fl – Office 19
Hamilton ON, L8P 1C8
Toll free: 1-800-267-8563
Tel. (905) 522-2545
Fax. 1-888-958-0307
Email: [email protected]
Ottawa and Eastern Region (OEOR)
Colin Patterson
Regional Service Coordinator
2445, Boul, St. Laurent,
Ottawa, ON, K1G 63C
Tel. (613) 739-3845
Fax. 1-888-958-0307
Email: [email protected]
South Western Ontario Region (SWOR)
Matthew Maynard
Regional Service Coordinator
186 King Street East, Suite 30
London ON, N6A 1C7
Tel. (519) 432-2365
Fax. 1-888-958-0307
Email: [email protected]
Toronto and Central Ontario Region (TCOR)
Laura Tomkins
Regional Service Coordinator
65 Wellesley St. East
Toronto, Ontario, M4Y 1G7
Tel: (416) 972-0641 ext. 14
Fax: 1-888-958-0307
[email protected]
W2 Registration Coordinator
Susan Turner
Administrative & Finance Assistant
65 Wellesley St. East
Toronto, Ontario, M4Y 1G7
Tel: (416) 972-0641 ext. 21
Fax: 1-888-958-0307
[email protected]
North Eastern Ontario Region (NEOR)
Stephanie Morrison
Regional Service Coordinator
Tel: 1-866-545-1647
Fax. 1-888-958-0307
Email: [email protected]
North Western Ontario Region (NWOR)
Laura Tomkins
Regional Service Coordinator
Tel: 1-888-838-8846 ext. 14
Fax. 1-888-958-0307
Email: [email protected]
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