top of page
About
Our Process
Our Team
Education
Training Programs
HOST Materials
Education Sets
Lab Services
Digital Prototyping
3D Printing
Silicone Molding
Publications
Contact
Store
Applicant's Details
*
First Name
*
Last Name
*
Email
*
Phone Number
Shipping Address (For Virtual Attendees)
City
State
Country
Postal Code
Current Position
If other, please state position:
*
I will be registering this event as a:
As an attendee, I plan to attend this course:
*
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
*
Affiliated Institution/Hospital
*
Number of Years at Affiliated Institution/Hospital
*
Number of Years Experienced in Congenital Heart Surgery
I am currently a member of the Society of Thoracic Surgeons (STS)
Yes
No
*
I consent to be photographed or video-taped on selected courses while I participate in this course.
Yes
*
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
Want to add a comment?
SUBMIT
Bootcamp 2026 - HOST (Hands-On Surgical Training) in Congenital Heart Surgery
Oct 16, 2026, 8:00 AM EDT – Oct 18, 2026, 12:00 PM EDT
The Hospital for Sick Children
Form
bottom of page