The Healthy Traveler Online Workshop Registration Form

The Healthy Traveler Online Workshop
S.U.C.C.E.S.S. is delivering an online workshop. Presented by London Drugs:
Common health risk for travel, recommendations on vaccinations for travelleing, information on available travel medications, and essential health and safety guidance—especially for travelers with medical concerns.

General Information

Date: August 6, 2025 (Wednesday)

Time: 11:30am – 1:00pm

Location: ZOOM

Guest Speaker: Annie, Patient care, Clinical Pharmacist

Content
- Common health risk for travel
- Vaccination recommendations for travellers
- Information on available travel medications
- Health and safety tips for all travelers
Please fill in this form to register for the workshop.

For any questions, please contact us on 236-235-1341/604-335-7154.
We look forward to seeing you!
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email *
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Gender

FemaleMaleNon-binary/third genderPrefer not to say
Age Group*

Under 19 years19 - 24 years25 - 34 years35 - 44 years45 - 54 years65 years or above
What language do you speak at home?

EnglishUkrainianPersian (Farsi)CantoneseMandarinOther
Which city does you live?

VancouverBurnabyRichmondCoquitlamSurreyDeltaOther
Where do you come from?

CanadaUkraineIranHong KongMalaysiaSingaporeVietnamChinaTaiwanOther
What was your immigration category/type?

Family ClassIndividualTemporary Foreign Worker (people with work permits)International StudentPrefer not to sayOther
What is your immigration status?

Canadian CitizenshipPermanent ResidentTemporary Foreign WorkerProtected PersonInternational StudentPrefer not to say
How many years have you been resident in Canada?

1 – 2 years3 – 4 years5 – 10 years10 years or more
What concerns you most about when travelling?
Have you ever joined any previous (online)talks/workshops/events hold by Health Education Project?*

YesNo
Would you like to be contacted regarding other related programs from S.U.C.C.E.S.S.?*

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Thank you for your registration. You will receive the session link 2 to 3 days prior to the event.
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