2026 Florida Chapter Annual Meeting Registration

2026 Annual Meeting Registration
Contact Information
Name*

First NameLast NameCredentials
Preferred Email:*
example@example.com
Phone Number*
Please enter a valid phone number.
ACS Member ID
Required for myCME Dashboard
Degree*
Specialty:*
Practice Type*
Organization/Institution*
Pre-Event Emergency Contact*

PhoneEmail
Onsite Emergency Contact*
Hold Harmless Waiver*

Travel to and attending in person meetings entails the risk of contracting communicable diseases; I agree to waive and hold the FCACS, Affinity Strategies, the facility, and each of their agents harmless from and against any liability, damages or expenses arising from travel to or attendance at the event; I agree to follow all health and safety protocols announced by the FCACS, the facility, and governmental authorities.

Additional Events
Are you a resident interested in participating in Resident Jeopardy?*

YesNo
Florida Chapter Resident Jeopardy

Terms and Conditions: Participation in Surgical Jeopardy is limited to residents only. All participants must register for the Florida Chapter annual meeting in order to participate. Each institution may have up to two teams. A maximum of two people are allowed per team. Please contact the Florida Chapter office with any questions.
I would like to sign up as a:

Team MemberIndividual (I need a team)
Institution*
Institution Program Director:
Your Team Member's Name

First NameLast Name
Team Member's Email
example@example.com
Team Member's Phone
Please enter a valid phone number.
If selected, my program agrees to give me time off to attend the entire conference. This is not required, but preference will be given to participants who are able to attend the entire conference.

YesNo

Registration & Payment
The Florida Chapter of the American College of Surgeons partners with several generous institutional sponsors. Our current sponsors are:
- University of Florida College of Medicine - Jacksonville
- Nemours Children's Health
- University of South Florida Morsani Program
- United Vein & Vascular Centers
- University of Florida College of Medicine - Gainesville
- Florida Atlantic University
- Moffitt Cancer Center
If your institution is one of our sponsors, please choose from the list below to receive a code for a discounted registration rate.
Use code 'Gainesville2026' at check out.
Use code 'Jacksonville2026' at check out.
Use code 'Nemours2026' at check out.
Use code 'United Vein2026' at check out.
Use code 'Florida Atlantic2026' at check out.
Use code 'Moffitt2026' at check out.
Use code 'Morsani2026' at check out.
How will you be paying?*

Credit Card
Check Number
Please make checks payable to:

Florida Chapter of the American College of Surgeons

Checks can be mailed to:

Affinity Strategies
PO Box 1488
Warrenville, IL 60555
Registration Type

Florida Chapter and South Florida Chapter Member - $200.00Non-Member - $250.00Resident/Fellow-in-Training - $85.00Medical Student - $40.00

My Products

Florida Chapter and South Florida Chapter Member

$200.00

Non-Member

$250.00

Resident/Fellow-in-Training

$85.00

Medical Student

$40.00

Enter coupon

Total

$0.00

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Expiration Year

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2026 Annual Meeting Registration