The Massachusetts General Hospital Department of Surgery looks forward to your attendance at the Society of Clinical Surgery Annual Meeting. Register using the form below.

Please fill out the form below to register for the Annual Meeting.

Required fields are marked with an*

Attendee Registration:

Name*   

Degrees

Institution*   

Address*   

City, State*   

Postal/zip code*   

Business phone

Mobile phone*   

E-mail address*   

Assistant's e-mail address

Guests Attending:

Guest 1: Name

Guest 2: Name

I will attend the following events:

All events  
Thursday, November 14: cocktail, reception, and dinner  
Friday, November 15: surgical program  
Friday, November 15: luncheon  
Friday, November 15: annual gala dinner  
Friday, November 15: bus for gala dinner  
Saturday, November 16: Saturday program  

My guest(s) will also attend the following:

Guest 1: Thursday, November 14: cocktail, reception, and dinner  
Guest 1: Friday, November 15: companion program  
Guest 1: Friday, November 15: annual gala dinner  
Guest 1: Friday, November 15: bus for gala dinner  
Guest 1: Saturday, November 16: Saturday program  
Guest 2: Thursday, November 14: cocktail, reception, and dinner  
Guest 2: Friday, November 15: companion program  
Guest 2: Friday, November 15: annual gala dinner  
Guest 2: Friday, November 15: bus for gala dinner  
Guest 2: Saturday, November 16: Saturday program  

Scrub size for the operative clinics:

Scrub size