Gifford-Truhlsen Conference 2025 Registration

Please fill out the form below for conference registration.

REGISTRATION IS MANDATORY FOR ALL ATTENDEES.
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Applicant Information

* First Name

* Last Name

* Title

Credentials

Phone Number

* Email Address

* Affiliation
UNMC
Nebraska Medicine
Other

Other Affiliation

Registration Information

* Registration Type

In Person

MD, DO, OD, PhD - $125
TEI Employees and Faculty - $0
Residents and Students - $0
Guest Speaker - $0
All other health care professionals - $75

Virtual

MD, DO, OD, PhD - $75
TEI Employees and Faculty - $0
Residents and Students - $0
Guest Speaker - $0
All other health care professionals - $40

* Days Attending

June 12: Surgical Simulation Workshop
June 13: Conference Day 1
June 14: Conference Day 2

Meals

Meals
June 12 Breakfast
June 12 Lunch
June 13 Breakfast
June 13 Lunch
June 13 Dinner
June 14 Breakfast

* Food Options
Non-vegetarian
Vegetarian
Vegan
Other (Answer in Dietary Restrictions)

Dietary Restrictions

Payment Information

Deadline for Early Bird Pricing was 5/15/25

Your Cost: $0

* My method of payment is:

Cost Center Number:

Credit Card or eCheck (Information Taken On Next Page)

Cancel/Refund Policy

Cancellations must be made in writing or by email to Kim Witt: kiwitt@unmc.edu

A refund of the registration fee, less 20% processing fee, will be given if the request is received by June 1, 2025.

No refund will be given after this date.

Questions?

If you need assistance with online registration or have any questions, please contact Kim Witt: kiwitt@unmc.edu or 402-990-7925.

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