Student Registration - Colorado Society of Osteopathic Medicine

Name

Address

Email Address

Phone Number

Are you a current member of CSOM?

Yes

No

Are you a current member of the Colorado Chapter of the American College of Osteopathic Family Physicians (ACOFP)?

Yes

No

Are you a current member of AOA?

Yes

No

AOA #

Will you be attending via Zoom /computer sessions?

Yes

No

Will you be attending any in-person sessions?

Yes

No

Select Registration Type:

Student CSOM Member – $0

Ticket Quantity