Resident & Student Meeting Registration

Resident/Student Member Annual Meeting Registration

No registration fee for residents or students.

First Name *

Last Name *

Credentials *

Practice Name *

Address

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Phone Number *

Email Address *

Name on Badge *

Will you be presenting a poster for the Abstract Competition? (Complimentary Dinner for Poster Presenters) *

Yes

Dietary Restrictions

Will you attend the dinner on Saturday, September 13, 2025 after the poster competition?

Yes

Cocktails & Dinner at Grove Park Inn Country Club

Dinner & Cocktails	Item Price	Quantity
Dinner and Cocktails $150 pp	$150
Sub Total

By proceeding with this registration, you agree to the terms, conditions and fees associated with such as detailed within the registration form. The terms set forth therein are as follows: Refunds of registration fees will not be made after Friday, August 22, 2025. Refunds, excluding a nonrefundable administrative fee of $25, will be made for cancellations received prior to that date. Should you decide for any reason not to attend this event without notifying our office via email cancellation, you accept that you forfeit any funds associated with this registration and your payment will not be refunded. Attendee registration addresses will be provided to all attendees and vendors registered for the Annual Meeting. By proceeding with this registration and participating in the 2025 SCSP Annual Meeting, the participant hereby accepts the terms and conditions.