The Human Reproductive Systems
Auditorium Presentation with Dr. Lindsay Lombardo, DO Wednesday December 3rd, 2025 9:00 am - 10:30 am
Schoo Name
*
Teacher Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Teacher Email
*
example@example.com
Teacher Phone Number
*
Please enter a valid phone number.
Grades of Students in Attendance
*
Total Number of Students
*
Hands-On Programming Following (Please note that the 10:45 Cadaver Session is currently full)
*
Pig Heart Dissection (10:45-11:45)
Cadaver Demonstration (12:00-1:00)
Pig Heart Dissection (12:00-1:00)
None - we do not wish to attend any programming following the auditorium presentation
Do you plan to use the dining hall for your students?
*
Yes
No
Have you attended an AIMS Auditorium Program before?
*
Yes
No
If this is your first time with us, how did you hear about us?
PAYMENT POLICY : I understand by submitting this registration I will be invoiced for 80% of the total cost, which is due upon receipt. For any remainder due, you will be billed separately following completion of your program. If 80% payment is not received by 30 days prior to your program, you will be responsible for 100% of the students you registered for. No refund will be provided for amounts less than 80% of your initial total student registration. Cancellations 30 days or more before the scheduled program will receive a full refund. Cancellations within 30 days will receive a refund, less a $100 nonrefundable deposit.
*
Yes, I acknowledge that I have read and understand the payment and cancellation policy above.
Additional Comments:
Submit
Should be Empty: