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Day Surger y Nurses Association Inc. NSW
CONFERENCE REGISTRATION FORM
Wellness for Life
29 AUGUST 2015 // DOCKSIDE DARLING HARBOUR
Balcony Level, Cockle Bay Wharf, Darling Park NSW
c o n f e r e n c e n s w @ a d s n a . i n f o // w w w . a d s n a . i n f o
THIS ACTIVITY ATTRACTS
6 CPD HOURS
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Day Surger y Nurses Association Inc. NSW
PROGRAM
Registration
8:00 – 8:30
DSNA President’s Welcome
8:30 – 8:45
Paul McKenna
8:45 -9:15
What do I do if…? Shared responsibilities when
there are concerns about a nurse/midwife
9:15 -9:45
A personal journey from Anxiety and Depression to
Hope, Recovery and Resilience
Kim Bryant
Beyond Blue
9:45 - 1030
Morning Tea with the Trade
10:30 – 11:00
Iain Crawford Clinical Excellence Commission
The National Hand Hygiene Initiative
Another Sleepless Night – Sleep Apnoea
11:00 - 11:30
Dr Andrew Ng MBBS FRACP PhD
Weight Loss Surgery – What’s New
11:30 – 12:00
Dr Vytauras Kuzinkovas MBBS MD MRSCEd FRCSEd FRACS
IAAS Congress Barcelona 2015 Scholarship Recipient
12:00 – 12:15
Pilar Lee RN
DSNA AGM
12:15 – 12:45
12:45 - 1:45
Lunch with the Trade
1:45 – 2:15
Amira Sanki M.B, B.S. (Hons), B.Med.Sc. F.R.A.C.S.
Plastic Surgery
Mindful Movement
2:15 - 3:00
Bernadette Milross Ba. Ed. Syd. Uni: Diploma Prof Pilates, Polestar Level 2;
Advanced Gymnastics coach
3:00– 4:00
Dr Joanna McMillian BSc (Hons) Dietetics & Clinical Nutrition RGU Aberdeen,
PhD Human Nutrition Syd. Uni.
Embrace a Healthy Active Lifestyle
Conclusion
4:00
Program is subject to change
ACCOMODATION //
The PARKROYAL Darling Harbour Hotel is offering conference delegates
a 10% discount off their best available public rate. For reservations call
1800 192 144 or 029261 1188 and quote “Dockside” when booking.
ADINA Apartment Hotel Sydney. For reservations call 02 9249 7000
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GETTING THERE //
Parking: Wilson Darling Park,
201 Sussex Street
Train: A short walk from Town Hall
and Wynyard stations
Day Surger y Nurses Association Inc. NSW
Wellness for Life
COFERENCE REGISTRATION FORM
ABN 14 909 560 342 // Non registered for GST
TO REGISTER //
To register by mail complete the registration form, enclose payment or credit card details and mail to
DSNA Conference PO Box 212 Croydon 2132.
To register by Fax complete the registration form, include credit card details and fax to 9799-1867.
Name (First):
DNSA Member
Non Member
New Member
(please circle)
Address:
Suburb:
State:
Phone Work:
Phone Mobile:
Postcode:
Email (to send receipt to):
Facility/Hospital:
Special Dietary Requirements:
Trade list
I do NOT give permission for my name and contact details to be added to the delegates list
for the trade.
Photographs
I do NOT authorise DSNA to use images and footage taken of me at this education day.
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COFERENCE REGISTRATION FORM CONTINUED
ABN 14 909 560 342 // Non registered for GST
REGISTRATION DETAILS // Please tick appropriate box
Members Conference
Registration
New Member
Non Members
Conference Registration
1 year membership and
conference registration
Early Bird $190
Early Bird $270
Early Bird $280
By 24 July 2015
By 24 July 2015
By 24 July 2015
Standard $230
Standard $310
Standard $320
After 24 July 2015
After 24 July 2015
After 24 July 2015
Membership Renewal $70
Please add for renewal to June 2016
REGISTRATION CLOSES WEDNESDAY 19 AUGUST 2015
EARLY BIRD REGISTRATION CLOSE WEDNESDAY 24 JULY 2015
Please note that registrations cannot be accepted on the day.
PAYMENT DETAILS // (please tick payment method):
Cheque Money Order
Visa Mastercard
Credit card fee $3.00 (we do not accept Diners or AMEX)
Card No:
/
/
/
Expiry Date: Amount:
Name on Card: Signature:
CANCELLATION POLICY //
Cancellation of conference registration can be made up to 26 July 2015 with a refund minus A $50 administration fee
For cancellations after 26 July 2015, no refund will be available.
ENQUIRIES //
Email: [email protected]
Phone: 9799 1632
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