Surgical Demonstration Day Registration Form

For high school and college teachers, please fill in this form to RSVP for Friday, May 23rd, 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 30 students, and for every 15 students we require one instructor or chaperone.

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

School:

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

Questions: