Surgical Demonstration Day Registration Form

For high school and college teachers, please fill in this form to RSVP for Friday, May 20th, Surgical Demonstration Day. After you register, a confirmation email will be sent later that day with final instructions. We are asking that you bring no more than 15 students.

Teacher’s Name:
Additional Teacher/Chaperone:
Teacher’s Phone:
Teacher’s Email:

School:

Name of Class Coming:
Number of Students Coming:
Arrival Time:

Questions: