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Dawn of a New Day Mass Casualty Tabletop Exercise 19A- Dayton Children's Night Shift
Please complete the information below to sign up for the exercise.
The exercise will be held at Dayton Children's Hospital (main campus), on Wednesday, August 14th, 2019, from 4:00 PM to 9:00 PM and will include a working dinner.
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1.
First Name:
(Required.)
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2.
Last Name:
(Required.)
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3.
Please select your hospital or agency:
(Required.)
Atrium Medical Center
Dayton Children's Hospital
Dayton Children's Hospital - South
Dayton Department of Veteran Affairs
Grandview Medical Center
Greene Memorial Hospital
Soin Medical Center
Miami Valley Hospital
Miami Valley Hospital - North
Miami Valley Hospital - South
Southview Medical Center
Springfield Regional Medical Center
Sycamore Medical Center
Upper Valley Medical Center
Wayne Healthcare
Wilson Health
Wright Patterson Medical Center
EMS, EMA, Law Enforcement, other Hospitals, or other Agencies:
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4.
Your Position
(Required.)
Physician
Nurse
Administrator
Law Enforcement Officer
Paramedic
EMT
Physician's Assistant
Other (please specify)
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5.
Your E-mail address:
(Required.)
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6.
Please carefully confirm your e-mail address from above. This is how we will send directions to the exercise, any changes, and exercise materials.
(Required.)
7.
Though we cannot guarantee to honor requests, please let us know if you have dietary restrictions (e.g., gluten-free, vegetarian, etc.).
