Registration


By selecting the District XII Member Rate, you are verifying your ACOG membership. However, if you are not a current member of The American Congress of Obstetricians and Gynecologists, please select the non-member rate. If we verify that you are not a member, you will automatically be charged the difference in registration cost.

Please select a combined course if you would like to attend both Coding Program and Scientific Sessions.

ACOG District XII Section
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Registrant Info
Text Message System

By providing your cellular phone number, you are enrolling into the ACOG District XII text alert system. ACOG District XII may send you SMS and MMS text messages, specifically related to the event for which you are registering, between the dates of August 12, 2016 and August 14, 2016. You will be able to reply STOP at any time to opt out of the system. Standard text messaging rates may apply.

Program Registration

CHECK FEE BASED ON MEMBERSHIP STATUS
Registration includes a link to the course syllabus on it (no paper syllabus will be provided) and 1 admission badge for food functions, excluding Saturday evening event.

CODING PROGRAM
(Friday, August 12)





SCIENTIFIC SESSIONS
(Friday, August 12-Sunday, August 14)








COMBINED COURSE REGISTRATION:
CODING PROGRAM & SCIENTIFIC SESSIONS
(Friday, August 12-Sunday, August 14)




I attest that I am a current Resident/Fellow enrolled in a Florida program. I am agreeing that I will or have already faxed in proof of residency/fellowship to 904-998-0855.
BREAKOUT SESSIONS

Please select the breakout session you would like to attend. There is no additional fee.

Saturday, August 13
8:00 AM-12:00 PM






Saturday, August 13
10:35-11:20 AM

Sunday, August 14
9:30-10:15 AM

SPECIAL EVENTS
Member/Nurse: $0

(The Legislative Luncheon is included in the Member & FL Resident/Fellow registration fee. However, you MUST pre-register to attend this event.)

$25

$100 SOLD OUT

(This ticket is not included in your registration fee.)
$45

(This ticket is not included in your registration fee.)
Non-CME Satellite Programs

Please check the boxes below if you would like to attend either or both programs.







ADULT & CHILDREN GUEST TICKETS**





SOLD OUT


**Badges required for access to the exhibit hall and receptions.
Guest Name(s)

Please list the FULL NAME for each of your guests (one per line). Include ages for child guests. Include t-shirt sizes for FunRun if applicable. Note: Your badge is your pass to all exhibit hall events. Only registered individuals will receive a badge.

Special Assistance
Payment Information