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ADTC Course Waitlist
Add your name to the waitlist if a class section is currently full. You will be notified immediately if there are any course cancellations.
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1
CE Course & Date Selection
*
This field is required.
Please select the course from the dropdown that you'd like to be added to the waitlist for.
Please Select Course from list
Jul. 27-28 2024 - Oral Surgery 1 / Radiology
Aug. 10-11 2024 - Technician Workshop
Aug. 23-25 2024 - Fundamentals of Dentistry
Oct. 06 2024 - Canine & Feline Surgical Extractions
Oct. 25-27 2024 - Fundamentals of Dentistry
Nov. 08-10 2024 - Endodontics 1
Nov. 23-24 2024 - CBCT Imaging: The Complete View
Dec. 06-08 2024 - Fundamentals of Dentistry
Please Select Course from list
Please Select Course from list
Jul. 27-28 2024 - Oral Surgery 1 / Radiology
Aug. 10-11 2024 - Technician Workshop
Aug. 23-25 2024 - Fundamentals of Dentistry
Oct. 06 2024 - Canine & Feline Surgical Extractions
Oct. 25-27 2024 - Fundamentals of Dentistry
Nov. 08-10 2024 - Endodontics 1
Nov. 23-24 2024 - CBCT Imaging: The Complete View
Dec. 06-08 2024 - Fundamentals of Dentistry
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2
Contact Name
*
This field is required.
Who should we contact in the event a registration spot opens?
Dr.
Ms.
Mr.
Mrs.
Dr.
Dr.
Ms.
Mr.
Mrs.
Prefix
First Name
Last Name
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3
Number of Attendees
*
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Please enter the number of people interested in signing up
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4
Clinic / Hospital Name
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Please enter your clinic or hospital name.
Clinic / Hospital Name
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5
Email Address
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Please enter a
personal email
address and not a general hospital mailbox. All course correspondences will be sent here.
example@example.com
Confirm Email
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6
Phone Number
*
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If there is a question about your registration what is the best contact number to reach you directly?
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7
Additional Comments
Anything else we should know or can help with?
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