2024-2025 CORE: Comprehensive Orthopaedic Resident and Fellows Education

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*
Program Selection:*

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:
example@example.com
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:
example@example.com
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:
example@example.com
Program Participant Nine Name:
Program Participant Nine Email:
example@example.com
Program Participant Ten Name:
Program Participant Ten Email:
example@example.com
Program Participant Eleven Name:
Program Participant Eleven Email:
example@example.com
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 have read and understood the Program Agreement*

I agree
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