FOOT CARE 360 REGISTRATION FORM

FOOT CARE 360 REGISTRATION FORM

Thursday, November 26th, 2026 | 8:30AM - 4:30 PM
Continental Cosmetics | 390 Millway Ave, Concord, ON, L4K3V8

A one-day professional event for foot care nurses and nurses exploring the profession, presented by TiredSole360 x GEHWOL Canada
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City
Province
Organization / Business Name
Professional Background / Designation
Are you currently practising as a Foot Care Nurse?
Do you have any food allergies or dietary restrictions?
If yes, please provide details
Lunch will be provided. We will do our best to accommodate identified food allergies and dietary restrictions; however, we cannot guarantee an allergen-free environment.
Would you be interested and available to attend a social activity after the conference?
How did you hear about FOOT CARE 360?
Registration & Payment Agreement
Registration & Payment Agreement

Please review before submitting your registration. Registration is only confirmed once full payment has been received at the time of registration. Due to the limited number of seats available, all registration payments are final and non-refundable. By submitting this form, I acknowledge that I have reviewed the event information and understand that my registration is not confirmed until payment has been successfully completed.
Agreement
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

EARLY BIRD FEE

Early Bird fee ends on October 31st, 2026

$299.00 as of November 1st, 2026

Plus applicable taxes

$249.00 CAD # Of Attendees

Subtotal

Tax

Total

Continental Cosmetics | 390 Millway Ave, Concord, ON, L4K3V8