ACS Clinical Congress 2023 Surgical Coaching Registration

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* 1. Please enter your name.

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* 2. Please enter your email address.

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* 3. Please select all the times you will be available to provide coaching on 10/23. You are able to choose as many slots as you'd like.

9:00 AM - 10:00 AM

10:00 AM - 11:00 AM

11:00 AM - 12:00 PM

12:00 PM - 1:00 PM

1:00 PM - 2:00 PM

2:00 PM - 3:00 PM

3:00 PM - 4:00 PM

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* 4. Please select all the times you will be available to provide coaching on 10/24. You are able to choose as many slots as you'd like.

9:00 AM - 10:00 AM

10:00 AM - 11:00 AM

11:00 AM - 12:00 PM

12:00 PM - 1:00 PM

1:00 PM - 2:00 PM

2:00 PM - 3:00 PM

3:00 PM - 4:00 PM

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* 5. Please select all the times you will be available to provide coaching on 10/25. You are able to choose as many slots as you'd like.

9:00 AM - 10:00 AM

10:00 AM - 11:00 AM

11:00 AM - 12:00 PM

12:00 PM - 1:00 PM

1:00 PM - 2:00 PM

2:00 PM - 3:00 PM

3:00 PM - 4:00 PM