2024 IFSER Educator's Summit (ES) Registration  
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Email *
July 12-13, 2024 Philadelphia, Pennsylvania
Hosted by Thomas Jefferson University
REFUND POLICY - I agree to the following terms: Refund of $200 through April 30, 2024. No refunds on or after May 1, 2024. *
Attendee's First Name *
Attendee's Last Name *
Street Address *
City *
State *
Zip Code *
Email address (for ES communications) *
Phone Number *
Date of Birth (for CMEs) *
Will you be staying at the hotel chosen by IFSER - The Fairfield Inn & Suites by Marriott Downtown/Center City. 261 South 13th Street Philadelphia, PA 19107 *
Please indicate the days you plan to attend: 
Registration fee for Friday & Saturday :
Early Bird $375 on or before April 15, 2024
$425 on or after April 16, 2024 
$225 for one day attendance  
Please choose how you will be paying for the ES.

PLEASE NOTE - Registration is not complete until payment is made. Payment must be completed through a separate step. 
To assist us in tracking registrations, please indicate the name of the person or organization who will be making the payment for this attendee. (If self, please state "self") *
Completion of this form is the first step in the registration process. *Please note: upon submission of this form, you will receive a follow up email with additional instructions on paying for the ES. *Your registration will not be complete until payment is received.  

What college or hospital are you from or representing (include City and State)? *
PLEASE NOTE: With any food provided by IFSER, we cannot guarantee that we can accommodate for special food allergies, so please plan accordingly. Thank you.
How did you hear about the ES? Choose all that apply *

I hereby authorize the Board Members of the International Foundation for Sonography Education and Research (IFSER), and those acting pursuant to its authority to: 

(a) Record my likeness and/or voice on video, audio, photographs, digitally, electronically, or via any other medium. 

(b) Use my name in connection with these recordings, photographs, or any other means of capturing a likeness or voice . 

(c) Use, reproduce, exhibit, or distribute on the IFSER.org website, IFSER Newsletter, or any other IFSER promotional materials.

I release IFSER and those acting pursuant to its authority from liability for any violation of any personal or proprietary right I may have in connection with such use. I understand that all such photos and/or recordings on the IFSER.org website, IFSER Newsletter, or any other IFSER promotional materials shall remain the property of IFSER.

I have read, understood, and agree to the above Photo Release and I affirm that I am at least 18 years of age.
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