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First Name
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Last Name
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Email
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Phone Number
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Current Position
If other, please state position:
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I will be registering this event as a:
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As an attendee, I plan to attend this course
In-Person (750 USD)
Virtually (900 USD)
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This course is offered to Surgeons-in-Training who are specializing in congenital heart surgery. If you are registering as a Surgeon-in-Training, proof of status will be submitted when asked.
Yes
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Affiliated Institution/Hospital
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Number of Years at Affiliated Institution/Hospital
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Number of Years Experienced in Congenital Heart Surgery
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I am currently a member of the Society of Thoracic Surgeons (STS)
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No
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I consent to be photographed or video-taped on selected courses while I participate in this course.
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I further authorize that the photographs and video clips of myself and my filled-in questionnaire may be used for publication or presentation for academic or promotional purposes in any form.
Yes
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2026 Hands-On Surgical Training (HOST) Bootcamp in Congenital Heart Surgery
Oct 16, 2026, 12:00 PM EDT – Oct 18, 2026, 4:00 PM EDT
SickKids Patient Support Centre
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