DMS Sonography Registration Form

Note: A completed registration is comprised of a registration submission + payment submission.

**Diagnostic medical sonography day is virtual this year due to covid.

**Registrants will be provided with a link and information and directives before event.

**There is a non-refundable $10 registration fee for this event. See details below.

Session Date Saturday, February 26, 2022

First Name *

Middle Name or Initial

Last Name *

Maiden Name (if applicable)

Birth Date *

Address *

Apartment/Unit

City *

State * Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code *

Phone *

Email *

ARDMS

SDMS

ARRT

Employer

Triton Alumni or Graduate? * Yes No

Graduate Year (if Yes, What year did you Graduate from triton College) ?

**There is a non-refundable $10 registration fee for this event. Select "Yes" for "Pay for Registration?" field and submit form. A payment link will display in your confirmation message. Click Registration Payment link to complete payment process for this event. If you decline to pay, your event submission/registration will be voided.

Pay for Registration? * Yes

Submit