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Complete the below application for 1 year APS MEMBERSHIP ($75)

CONTACT INFORMATION

Name

Mailing Address

City

Province

Postal Code

Telephone

Fax

Preferred Contact Email Address:

Practice Site Location:

Updates *

YES! I want to receive member updates, AAP bulletins, event notifications and other important information via my preferred contact email.

NO. Do not send me member updates, AAP bulletins, event notifications, and other important information.

*Please note APS’s regular method of communication to members is via email.

PRIVACY STATEMENT

Your privacy is important to us. APS does not sell or otherwise provide your personal information to third parties not associated with the provision of APS services, programs or publications. APS uses appropriate safeguards to ensure that your personal information remains confidential. I, the undersigned, certify that the information contained in this application is complete and correct and authorize APS to collect, use and share the information contained within this application for the sole purposes set out in the privacy statement noted above.

Electronic Signature

Date

MEMBERSHIP BENEFITS

promotes and provides continuing medical education for its members
enhances communication and collaboration among its members
promotes child health in Atlantic Canada

MEMBERSHIP CATEGORIES

All memberships are complimentary. Please select one category below:

Please select one category type *

Regular Member: Licensed Pediatricians or Pediatric Subspecialists.

Supporting Member: Any person/s with an interest in pediatrics.

Resident/Medical Student: Graduate physicians engaged in postgraduate training in Pediatrics or Health profession students enrolled in an accredited college or university program.

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Complete the below application for 1 year APS MEMBERSHIP ($75)

PRIVACY STATEMENT

For Families

FOR PHYSICIANS

Membership

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w9mjban

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Complete the below application for 1 year APS MEMBERSHIP ($75)

PRIVACY STATEMENT

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For Families

FOR PHYSICIANS

Membership

LOCUMS