Get Registration Form

Completing the REGISTRATION FORM online is a straightforward process that ensures your registration for the course is successful. This guide will walk you through each step of the form to help you provide the necessary information accurately and efficiently.

Follow the steps to complete the REGISTRATION FORM online.

1. Click ‘Get Form’ button to obtain the registration form and open it in your preferred editor.
2. Enter your name in the 'Registrant Name' field, including your first name, middle name or initial, and last name.
3. Select your degree from the 'Degree' dropdown menu.
4. Fill in your company affiliation, if applicable, and provide your work/business address including street address, city, state or province, and ZIP or postal code.
5. Provide your home phone number with area code in the designated field.
6. Input your work phone number with area code as well.
7. Enter your email address to ensure you receive confirmation and updates regarding your registration.
8. Fill in your birth date in the format Month, DD, YYYY.
9. Indicate your Hispanic ethnicity by selecting either 'Hispanic or Latino' or 'NOT Hispanic or Latino'.
10. Choose your sex by selecting either 'Male' or 'Female'.
11. Select your racial group from the provided options or specify if 'Other'.
12. Specify your primary specialty from the list available.
13. Select your current position by choosing the appropriate title from the options provided.
14. Choose the registration date from the options available: March 30, 2009, or September 21, 2009.
15. Indicate the registration fee based on your status, ensuring you select the correct amount.
16. Provide payment information, including if a check is enclosed, and make checks payable to Mayo Clinic.
17. Review all the information entered for accuracy before proceeding.
18. Save your changes, download, print, or share the completed form as needed.

Complete your registration form online today to secure your spot in the course!