This is the registration form for Fetal Health Surveillance workshops offered by the Reproductive Care Program of Nova Scotia. Please read about the workshop pre-requisites prior to registering. First Name * Last Name * Street Address * City * Postal Code * E-mail Address * We will send a copy of your registration form to this address Phone Number * Discipline * - Select -Registered NursePhysicianRegistered Midwife Facility/Organization Name * Please choose the workshop date and location you wish to attend from the list below: If you would like to attend an Instructor Workshop, please select one of the workshops titled "Fundamentals/IC" and indicate that you wish to be an instructor candidate. This is a two day workshop, with the date of the instructor workshop (day 2) indicated in parentheses. Participants interested in attending a Fundamentals of FHS workshop can select workshops titled "Fundamentals" or "Fundamentals/IC". If you select the "Fundamentals/IC" workshop you would still attend the one day workshop only. Workshop * 2020 FHS Update Session – Jun. 18, 2020 (1000 – 1130) – Webex Please indicate if you wish to be an instructor candidate: Yes CAPTCHAThis question helps prevent automated spam submissions. Math question * 6 + 5 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.