You can always press Enter⏎ to continue
dog
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.
START
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
May. 03-04 2025 - Advanced Oral Surgery 3
May. 17-18 2025 - Oral Surgery 2.5
Jun. 06-08 2025 - Fundamentals of Dentistry
Jun. 29 2025 - Canine & Feline Surgical Extractions
Jul. 12-13 2025 - Oral Surgery 1 / Radiology
Aug. 01-03 2025 - Fundamentals of Dentistry
Aug. 16-17 2025 - Technician Workshop
Sep. 12-14 2025 - Management of Acute Oral Trauma of Hard & Soft Tissue
Oct. 10-12 2025 - Endodontics 1
Oct. 24-26 2025 - Fundamentals of Dentistry
Nov. 07-09 2025 - Oral Surgery 1+2 / Radiology
Nov. 23 2025 - Canine & Feline Surgical Extractions
Dec. 05-07 2025 - Fundamentals of Dentistry
Please Select Course from list
Please Select Course from list
May. 03-04 2025 - Advanced Oral Surgery 3
May. 17-18 2025 - Oral Surgery 2.5
Jun. 06-08 2025 - Fundamentals of Dentistry
Jun. 29 2025 - Canine & Feline Surgical Extractions
Jul. 12-13 2025 - Oral Surgery 1 / Radiology
Aug. 01-03 2025 - Fundamentals of Dentistry
Aug. 16-17 2025 - Technician Workshop
Sep. 12-14 2025 - Management of Acute Oral Trauma of Hard & Soft Tissue
Oct. 10-12 2025 - Endodontics 1
Oct. 24-26 2025 - Fundamentals of Dentistry
Nov. 07-09 2025 - Oral Surgery 1+2 / Radiology
Nov. 23 2025 - Canine & Feline Surgical Extractions
Dec. 05-07 2025 - Fundamentals of Dentistry
Select Class from Drop-down menu
Previous
Next
Submit
Press
Enter
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
Previous
Next
Submit
Press
Enter
3
Number of Attendees
*
This field is required.
Please enter the number of people interested in signing up
Previous
Next
Submit
Press
Enter
4
Clinic / Hospital Name
*
This field is required.
Please enter your clinic or hospital name.
Clinic / Hospital Name
Previous
Next
Submit
Press
Enter
5
Email Address
*
This field is required.
Please enter a
personal email
address and not a general hospital mailbox. All course correspondences will be sent here.
example@example.com
Confirm Email
Previous
Next
Submit
Press
Enter
6
Phone Number
*
This field is required.
If there is a question about your registration what is the best contact number to reach you directly?
Previous
Next
Submit
Press
Enter
7
Additional Comments
Anything else we should know or can help with?
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
7
See All
Go Back
Submit