Consent Form
Name
*
First Name
Last Name
Email
*
example@example.com
Please select from the following:
*
I grant permission to PTCOG-NA for making my presentation(s) available in a PDF format for the PTCOG-NA members.
I grant permission to PTCOG-NA for making my presentation(s) available for the PTCOG-NA members, but I will provide an updated version of my presentation(s). (Please send these to program@ptcog-na.org by November 12, 2025.)
I do not grant permission to PTCOG for making my presentation(s) available in any format.
Signature
*
Submit
Should be Empty: