11th Pediatric Spinal Deformity: On the Cutting Edge.

Important Notes:

> Registrations submitted after February 8 are subject to a $150 additional fee.

> Cancellations by February 8 will receive a full refund. Refunds will not be provided after February 8 without a documented medical exemption. Cancellations must be submitted in writing to Rebecca Given.

Registration Type

Registration includes all program sessions, course materials, and meals listed in the program.

Registration Type

Surgeon ($1,095.00)
International Surgeon ($795.00)
Resident, Fellow, PA, NP ($875.00)
Corporate ($1,350.00)

Attendee Information

Please enter your Name and Degree exactly as you would like them to appear on your badge.

Name

Degree (MD, PhD, etc.)

All course communication and reminders will go to this email address. You may enter an email address for billing/receipts later.

Hospital/Institution

Address

Phone Number

Specialty

If you selected Other Surgeon/Physician above, please enter your specialty. If you entered Medical Company Employee, please enter your company name

Would you like to receive information on BroadWater's future meetings and educational resources?

Discounts

Coupon Code (Optional)

Total Amout Due

$0.00

Billing Information

Name

Payment Method

Credit Card
Check or Wire Transfer

Use a previously saved card

Credit Card

Visa
Mastercard
American Express
Discover

Save this card for future use

Address

Event Registration Software by RegFox