Skip to content
Clinical Operations at Sea 2026 Interest Survey
1.
First & Last Name
2.
Email Address
3.
Phone Number
4.
What is your current organization?
5.
What is your current role?
6.
Are you interested in speaking at Clin Ops at Sea?
Yes
No
7.
If yes, what topic would you like to speak on? Please include details to aid in speaker assignment and alignment to the agenda.
8.
Do you prefer an Adults' Only cruise or Family Friendly?
Adult's Only
Family Friendly
Let's do both!
No preference
9.
For the Adult's-Only option, which month would you like to cruise? (We are avoiding other conference heavy months.)
late June 2026
mid-July 2026
late-July 2026
early August 2026
Labor Day Weekend 2026
December 2026
N/A
10.
For the Adult's-Only option, where would you like to cruise to and how long?
Caribbean - 4-nights
Caribbean - 5-nights
Caribbean - 7-nights
Alaska - 7-nights
11.
For the Family-Friendly option, which month would you like to cruise? (We are avoiding other conference heavy months.) - likely Norwegian cruise line
late June 2026
mid-July 2026
late-July 2026
early August 2026
Labor Day Weekend 2026
December 2026
N/A
12.
For the Family-friendly option, where would you like to cruise to and how long?
Caribbean - 4-nights
Caribbean - 5-nights
13.
Is your company interested in learning about sponsorship opportunities?
Yes
No
