Attendee Type
Please select if you will be attending for one or two days for registration (4/3/2025 - 4/4/2025)
Physician
One Day $100 / Two Days $150
Nurse, PT/PTA, AT, EMS, Student, Other
One Day $50 / Two Days $75
MCESD2
Registration Information
* makes it a required field
First Name (as it will appear on course certificate)
*
Last Name (as it will appear on course certificate)
*
Credentials (as it will appear on course certificate)
*
Email
*
Verify Email
*
Phone Number
*
Mailing Address
*
Address Line 2
City
*
State/Province
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AA
AE
AP
AS
FM
GU
MH
MP
PR
PW
VI
ACT
NSW
NT
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SA
TAS
VIC
WA
AB
BC
MB
NB
NL
NS
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NU
ON
PE
QC
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YT
Zip
*
Country
*
Afghanistan
Aland Islands
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Antarctica
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Aruba
Australia
Austria
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Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (the Democratic Republic of the)
Congo (the)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong SAR, PRC
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
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Korea (the Democratic People's Republic of)
Korea (the Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
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Macau SAR, PRC
Madagascar
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Malaysia
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Mali
Malta
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Mayotte
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Montserrat
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Nauru
Nepal
Netherlands
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Nigeria
Niue
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Northern Mariana Islands
Norway
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Palestine, State of
Panama
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Paraguay
Peru
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Pitcairn
Poland
Portugal
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Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
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Samoa
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Sao Tome and Principe
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Serbia
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Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia / South Sandwich Islands
Spain
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St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan (the)
Suriname
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Sweden
Switzerland
Syrian Arab Republic
Taiwan (Province of China)
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
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Tonga
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Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Virgin Islands
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Ukraine
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United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Emergency Contact Name
Emergency Contact Number
Email Registration Assistance
