2024-2025 CORE: Comprehensive Orthopaedic Resident and Fellows Education

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Program Information

Program Name*

Program Director Name*

First NameMiddle NameLast NameSuffix/Degree(s)

Program Director Email*

example@example.com

Program Director Phone

Country CodeArea CodePhone Number

I plan to have my trainees watch the webinars:*

Program Coordinator Name*

First NameMiddle NameLast NameSuffix

Program Coordinator Email*

example@example.com

Program Coordinator Phone

Country CodeArea CodePhone Number

Program Year*

One to Three Program ParticipantsFour to Six Program ParticipantsSeven to Twelve Program Participants

Program Participants Information (Names and emails of Program Participants cannot be changed following sign-up):

Program Participant One Name:

Program Participant One Email:

example@example.com

Program Participant Two Name:

Program Participant Two Email:

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Program Participant Three Name:

Program Participant Three Email:

example@example.com

Program Participant Four Name:

Program Participant Four Email:

example@example.com

Program Participant Five Name:

Program Participant Five Email:

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Program Participant Six Name:

Program Participant Six Email:

example@example.com

Program Participant Seven Name:

Program Participant Seven Email:

example@example.com

Program Participant Eight Name:

Program Participant Eight Email:

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Program Participant Nine Name:

Program Participant Nine Email:

example@example.com

Program Participant Ten Name:

Program Participant Ten Email:

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Program Participant Eleven Name:

Program Participant Eleven Email:

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Program Participant Twelve Name:

Program Participant Twelve Email:

example@example.com

Program Agreement:
I agree by completing this form that I am signing up the Program Participants in my program as entered in this form as registrants in AANA’s Fellowship Education Subscription.

I understand if I am enrolling after the start of the series that my Program’s Participants will be given access to the recordings of all webinars that have taken place to date.

I consent to have any account access and confirmation details sent to the program coordinator's email listed above.

I agree