2025 LA-ACS Meeting Registration

LA-ACS Annual Meeting

2026 Meeting Registration
Name*

First NameLast NameSuffix
Credentials*

MDMD, FACSDODO, FACSBABSMBBSRNOther
Email*
example@example.com
Cell Phone Number
Please enter a valid phone number.
ACS Member*

YesNo
ACS Member Number
Practice Type*

AcademicPrivate PracticeCommunity Hospital EmployedMixed Model
Academic Program*

LSU Health New OrleansLSU Health ShreveportOchsner HealthTulane School of MedicineWillis Knighton Health SystemOchsner Lafayette General Medical Center Program
Institution/Practice Name*
Your Specialty
Primary Speciality*

BariatricBreastCardiacColorectalCritical Care/TraumaEndocrineGeneral SurgeryHepatobiliaryNeurologyOb/GynOphthalmologyOrthopedicOtolaryngologyPediatricPlastic/MaxillofacialThoracicUrologyVascularOther
Dietary Restrictions
Please list any dietary restrictions*

VegetarianVeganGluten FreeDairy FreeNut AllergyKosherNot ApplicableOther
Registration Information
Chapter Membership Type*

Active Member -$125Associate Member -$125Affiliate Member - -$75Retired/Senior Member - $125Medical Student - no feeResident Member - no feeNon-Member - $300
Saturday, April 5, 2025*

COT Breakfast Meeting (invite only)Meeting BreakfastPresentationsLA-ACS Business Meeting LunchResident Surgical Skills CompetitionNot attending Saturday
Sunday, April 6, 2025*

Fitness EventePoster SessionMeeting BreakfastPresentationsResident Surgical JeopardyNot attending on Sunday
Registration Fees
Payment Method*
Check Payment

Your attendance will be confirmed once we receive your check. Mail your check and make payable to:

LA-ACS
2213 Danny Park
Metairie, LA 70001

Questions? Email janna@laacs.org.
Your last name*

Office Use Only

Should be Empty:

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

LA-ACS Annual Meeting

Your Specialty

Dietary Restrictions

Registration Information

Registration Fees

Office Use Only