Provider & Administrator Sign-up
Please fill out the Provider & Administrator Sign-up below using your health system email address. Once provider and administrator voting goes live you will receive an email with voting instructions and on how to review start-up and student team materials.

If you've any questions, please reach out to us at
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Hospital System / Practice Name *
Registrant's Name *
Registrant's Role/Title *
Registrant's Email Address *
Are you interested in being contacted to be a coach to start-ups? *
If you would like to contribute to the competition in any other way, please let us know below.
Opt-in for reminders (ie: Open Review of Start-ups, Voting Deadlines, and Invite for Final Award Ceremony). *
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