WCCHR Spring Training Registration Form
Please fill out this form if you are interested in attending the WCCHR Spring Training.

After submitting this form, you will receive a confirmation email that your registration has been received. You will also be contacted a week or so prior to the event asking you to confirm your attendance via another google form; we ask that you kindly complete that form when the time comes to finalize your attendance registration.

Event Timing: Saturday, March 16; 8:45 AM - 3:15 PM; Optional breakfast served at 8:00AM
Event Address: Weill Auditorium (2nd floor) -- 1300 York Avenue, New York, NY 10021

Physicians will be granted 5.75 CME Credits.

First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Institution Affiliation *
Your answer
If a student, year in school:
Your answer
Will you be joining us in-person or via livestream? *
Level of Education *
Type of evaluation you are interested in performing: *
Type of evaluation you'd be most interested in learning about: *
Specific dietary restrictions: *
How did you hear about the WCCHR?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service