Workshop booking request form

University of Manitoba

Max Rady College of Medicine

A workshop request must be received at least 3 months in advance from the intended date.

Organizer's name

Organization or institution

Organizer's email

Organizer's telephone

Proposed date

Proposed time

Duration (hours)

Number of participants

Billing information

Number of teaching cadavers required

Preferred sex of cadaver(s)

Which anatomical regions are you interested in? (Be specific)

Number of specimens required

Are you bringing your own instructors?

Yes

Is lab assistance required?

Yes

Type of lab assistance needed

Technical staff

Faculty

NOTE: all cadaveric material is subject to availability.

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