Attendee Registration

Individuals attending the conference in-person

SPECIAL PROMOTION Register and pay for 3 and the 4th is free!

If 3 people from the same institution register and pay to attend the 2017 Symposium in person, then a 4th person can attend in person for free! All 4 must be of the same medical background; for example, 3 paid nurses at one institution will qualify a 4th nurse to register and attend for free (same thing with doctors, etc.). In order to take advantage of this offer first register (fill out form below) and pay for the first 3 people. Then e-mail Carolyn.Urish@aztracc.org the names of the first 3 paid people as well as the 4th person who you wish to be registered for free. When e-mailing us, please send the 4th persons full name, designation (i.e., RN or MD), address, phone number and e-mail. If you have any questions about this offer please call us at 602-933-4060.

If you would like to sign up as an attendee for the Arizona Trauma Association’s 2017 Symposium, please fill out and submit the form below. EACH ATTENDEE MUST REGISTER SEPARATELY. You can either pay by credit card online or select the option to pay by check which will offer you further instructions on where to send payment. Either way, please complete the form and click “submit” so we receive your registration. Thank you!

By registering for this conference, you understand there will be photo/video equipment in use at this event and you agree to allow the Arizona Trauma Association (ATA) to use your image in future advertising and marketing events. You also understand you will not be compensated for the use of your image in ATA promotions. If you choose not to have your image used in this manner, please contact us at 602-933-4060.


If the registration form does not appear below for you, please go directly to this link: https://trauma.formstack.com/forms/2017_stacs_registration.

  • About Arizona Trauma

    The Arizona Trauma Association (ATA) was started by a group of surgeons in 2007 to improve the delivery of health care to injured patients throughout the state of Arizona by supporting collaborative research, education and outreach activities of trauma centers in the state of Arizona.

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  • Contact Us

    P.O. Box 33893
    Phoenix, AZ 85067-3893

    phone: 602.933.4060
    e-mail: info@AZTrACC.org

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