FAPO EVENT REGISTRATION

FAPO EVENT REGISTRATION
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
The events I am interested in attending include all of the following:*

ANKLES: ATRHORSCOPY TO REPLACEMENT - Columbus, OH - January 15, 2026SCIENTIFIC COCKTAIL RECEPTION - Venetian Hotel, Las Vegas, NV - February 25, 2026FOOT AND ANKLE FLAPS, SKIN GRAFTS AND NEUROSURGERY - Columbus, OH - April 2026TRAUMA AND REAR FOOT FIXATION - Columbus, OH - June 2026TENDON TRANSFERS - Columbus, OH - August 2026EXTERNAL FIXATION PRINCIPALS - Columbus, OH - November 2026
Level of training:*

1st Year Resident2nd Year Resident3rd Year ResidentAttending PhysicianFellow
Have you submitted a Foot and Ankle Physicians of Ohio Fellowship Application?*

YesNo
FAPO FELLOWSHIP APPLICATION
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