For Educators

Register for 04/19/2018 11:00am ET Genetic Counseling

To load data from a previous registration, fill out the fields below and click the "Load" button.

Email Address

Registration Code

Genetic Counseling PLEASE NOTE ALL TIMES BELOW ARE LISTED IN EASTERN TIME (EST) After submitting a reservation, you will receive a confirmation email. Please check your spam folder if it does not appear in your inbox.

Event Date/Time

04/19/2018 @ 11:00am - 12:00pm

If you are connecting to this program using an H.323 videoconference unit, please list your IP below. If you are connecting to this program using a Zoom Room or computer, please enter the IP of 10.10.10.10. PLEASE NOTE ALL TIMES BELOW ARE LISTED IN EASTERN TIME (EST). COSI suggests testing before your first session with us each school year. After that, you may opt out of the test connection. If you do choose to opt out and experience technical issues the day of the program, you may still be responsible for the full cost of the program.

IP Address

Port or Extension

Dial In or Dial Out

Test connection appointment time

This is the school address. No P.O. boxes please.

Organization Name*

Organization Address*

Street Address

City

State / Province / Region

Postal / Zip Code

County

Country

Organization Name

Name*

First

Last

Title/Role

Address

Street Address

City

State / Province / Region

Postal / Zip Code

Country

Email Address*

Phone Number*

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Grade Level

Number of Students

Copy values from the previous contact.

Organization Name

Name*

First

Last

Title/Role

Address

Street Address

City

State / Province / Region

Postal / Zip Code

Country

Email Address*

Phone Number*

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Will you be connecting using H.323?

Copy values from the previous contact.

Organization Name

Name

First

Last

Title/Role

Address

Street Address

City

State / Province / Region

Postal / Zip Code

Country

Email Address

Phone Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Copy values from the previous contact.

Organization Name

Name*

First

Last

Title/Role

Address*

Street Address

City

State / Province / Region

Postal / Zip Code

Country

Email Address*

Phone Number*

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

  Estimated Total
$0.00
  Video Conference Connection @ $185.00   $185.00

Please add any additional information below (Ex: TWICE discount code, additional contact information, purchase order number).

Submit Registration