TSA Annual Meeting Registration

Date	Aug 19, 2022
Medical License Number
ABA# (8 digits)
Anesthesia Group Name
Primary Facility Name

Name

First Name

Last Name

Address and Contact

Mailing Address
City
State
Zip Code

Business Phone
Email

Cell
Fax

Guest Name(s)
Name badges required for all meetings and social events

Guest 1 (Full Name)
Guest 2 (Full Name)
Guest 3 (Full Name)

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Registration Fees
(Fees include pediatric parallel session)

	Number of Persons	Amount Per Person
TSA Member		@ $350
Non-Member		@ $550
TSA Retired Member		@ $100
TSA Resident Member		No Charge
Non-Member Resident		@ $100
TSA Anesthesiologist Assistant Member		No Charge
Non-Member Anesthesiologist Assistant		@ $100
TSA Medical Student Member		No Charge
Non-Member Medical Student		@ $100
Speaker/Presenter		No Charge
USAA Component Active Member		@ $350
USAA Component Resident Member		No Charge
Business Sessions Only (No CME credit)		No Charge
Workshops & Breakout Sessions
Regional Anesthesia Workshop- Friday Sept 9th. Pre-registration is required - $25 non-refundable fee. (Limit 50 participants, once limit is reached registrants will be waitlisted.)
1st Session 8 - 9:30 a.m.		@ $25
2nd Session 10:30 a.m.- 12:00 p.m.		@ $25
POCUS Workshop- Saturday Sept 10th. Pre-registration is required- $25 non-refundable fee. (Limit 50 participants, once limit is reached registrants will be waitlisted.)
POCUS 8a.m - 12 p.m.		@ $25
Problem-Based Learning Discussion (Limit 8 Participants Per Case. Pre-registration and onsite confirmation required.) See additional information under "Problem-Based Learning Discussion"
TSA Members		Included w/ Registration
Non-Member		Included w/Registration
Please CHOOSE the cases by ranking them 1, 2, and 3 in preferential order:
Hemostatic Resuscitation
Navigating Professional Guidelines for Perioperative Management...
The F Word: Futility Following Cardiac Arrest
Resident Programs: (Pre-registration is required)
Transition to Practice		No Charge
MOSCE Program		No Charge

If Only Attending Parallel Sessions

Note: Parallel Sessions are included in your Full Registration above,
please do not register for Parallel Sessions Only if you registered above.

(Parallel Sessions Only)	Number of Persons	Amount Per Person
Pediatric Track Only: TSA Member		@ $125
Pediatric Track Only: TSA Non-Member		@ $150

Activity Fees

Activity	Number of People	Amount Per Person
Women's Breakfast- (Women Physicians only – Meeting Registration. Limited to 100. Once limit is reached, registrants will be waitlisted.)		No Charge
Thursday Lunch		@ $30
Friday Golf Tournament By registering to play, I shall abide by the rules and regulations of the golf course. I will be held responsible for any damages to golf carts, the golf course, clubhouse and other facilities for which I am deemed at fault. Handicap or average score must be included for valid registration Golfer Name Handicap -or- Average Score Additional Golfer Name Handicap -or- Average Score		@ $200
Friday Welcome Reception		No Charge
Saturday Lunch		@ $35
Childcare 1st Child- number of days Additional Children- number of children x number of days	Childcare Reservations Closed	@ $35 @ $20

Review the form -or-

2022 Annual Meeting Registration Form

Non-Member Registration Form

TSA Members please login to Register for the Annual Meeting

Workshops & Breakout Sessions

Activity