2024 Orthopaedics Symposium Early Bird Registration

Register By August 4th and Save!

The 2024 Orthopaedics Symposium will be on Saturday, April 20th 2024, at the Embassy Suites in Loveland, Colorado from 7:00 am to 2:30 pm.

Our Agenda and Order of the Day will be similar to our 2023 Symposium, but with new Topics, Speakers, Cutting Edge Hands-On Break Out Sessions. This will be a CME Credit Event.

If you would like to register as an individual or a group online, you can do so on this secure page via stripe.com.

Fill in the required fields below, along with your credit card information. For payment, you may use VISA, MasterCard, American Express, or Discover. If you have difficulty making a payment, please contact OCR at (970) 419-7140 or send an email.

Important Notes:

10 is the maximum number of registrations for each online submission. If you have more than 10 guests, you can register the additional guests 11+ in a separate online submission or pay by check.
Your unique email address will be used to communicate with you after the conference regarding credits and conference evaluation.
All fields are required.
You may also mail in your check payable to OCR with the registration page from the brochure, and send it to:

Carli Taylor-Drake
Orthopaedic & Spine Center of the Rockies | 2500 E. Prospect Rd, Fort Collins CO 80525

2023 Symposium Videos

To find videos of our physicians speaking at the 2023 Symposium, follow this link to our YouTube channel.

Dr. Bret Peterson at the 2023 Orthopaedics Symposium

Dr. Matthew Gerlach at the 2023 Orthopaedics Symposium

Dr. Rocci Trumper at the 2023 Orthopaedics Symposium

Registration Form

"*" indicates required fields

Are You Registering As Part a Group of 5 or More From the Same Practice, Office, or Health System?*

Yes

Total Registrants*

Total Registrants (Group)*

First Registrant

First Registrant's Name*

First Name Last Name

First Registrant's Email*

First Registrant's Phone*

First Registrant's Credential (MD, DO, PA, etc)*

First Registrant's Specialty*

First Registrant's Practice/Clinic Name*

First Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

First Registrant Hands-On Splinting Breakout

Yes, I am interested in attending a Hands-On Splinting Breakout Session

First Registrant Photo & Video Release*

I give Orthopaedic & Spine Center Of The Rockies permission to use any pictures or video footage in which I may appear in this event for marketing, distribution, and publication utilizing materials that include, but may not be limited to, printed materials, videos, and digital images such as those on the Orthopaedic & Spine Center of the Rockies website.

I DO NOT give Orthopaedic & Spine Center Of The Rockies permission to use any pictures or video footage in which I may appear in this event for marketing, distribution, and publication utilizing materials that include, but may not be limited to, printed materials, videos, and digital images such as those on the Orthopaedic & Spine Center of the Rockies website.

Additional Registrants

Important: Guests need their own unique emails to register so they can receive communication after the conference from our credits provider. It cannot be a shared email that 2 or more guests are using.

Second Registrant

Second Registrant*

First Last

Second Registrant's Email*

Second Registrant's Phone*

Second Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Second Registrant's Credential (MD, DO, PA, etc)*

Second Registrant's Practice/Clinic Name*

Second Registrant Hands-On Splinting Breakout

Yes, I am interested in attending a Hands-On Splinting Breakout Session

Second Photo & Video Release*

Third Registrant

Third Registrant*

First Last

Third Registrant's Email*

Third Registrant's Phone*

Third Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Third Registrant's Credential (MD, DO, PA, etc)*

Third Registrant's Practice/Clinic Name*

Third Registrant Hands-On Splinting Breakout

Yes, I am interested in attending a Hands-On Splinting Breakout Session

Third Registrant Photo & Video Release*

Fourth Registrant

Fourth Registrant*

First Last

Fourth Registrant's Email*

Fourth Registrant's Phone*

Fourth Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Fourth Registrant's Credential (MD, DO, PA, etc)*

Fourth Registrant's Practice/Clinic Name*

Fourth Registrant Hands-On Splinting Breakout

Yes, I am interested in attending a Hands-On Splinting Breakout Session

Fourth Registrant Photo & Video Release*

Fifth Registrant

First Last

Fifth Registrant's Email*

Fifth Registrant's Phone*

Fifth Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Fifth Registrant's Credential (MD, DO, PA, etc)*

Fifth Registrant's Practice/Clinic Name*

Fifth Registrant Hands-On Splinting Breakout

Yes, I am interested in attending a Hands-On Splinting Breakout Session

Fifth Registrant Photo & Video Release*

Sixth Registrant

First Last

Sixth Registrant's Email*

Sixth Registrant's Phone*

Sixth Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sixth Registrant's Credential (MD, DO, PA, etc)*

Sixth Registrant's Practice/Clinic Name*

Sixth Registrant Hands-On Splinting Breakout

Yes, I am interested in attending a Hands-On Splinting Breakout Session

Sixth Registrant Photo & Video Release*

Seventh Registrant

First Last

Seventh Registrant's Email*

Seventh Registrant's Phone*

Seventh Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Seventh Registrant's Credential (MD, DO, PA, etc)*

Seventh Registrant's Practice/Clinic Name*

Seventh Registrant Hands-On Splinting Breakout

Yes, I am interested in attending a Hands-On Splinting Breakout Session

Seventh Registrant Photo & Video Release*

Eighth Registrant

First Last

Eighth Registrant's Email*

Eighth Registrant's Phone*

Eighth Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Eighth Registrant's Credential (MD, DO, PA, etc)*

Eighth Registrant's Practice/Clinic Name*

Eighth Registrant Hands-On Splinting Breakout

Yes, I am interested in attending a Hands-On Splinting Breakout Session

Eighth Registrant Photo & Video Release*

Ninth Registrant

First Last

Ninth Registrant's Email*

Ninth Registrant's Phone*

Ninth Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ninth Registrant's Credential (MD, DO, PA, etc)*

Ninth Registrant's Practice/Clinic Name*

Ninth Registrant Hands-On Splinting Breakout

Yes, I am interested in attending a Hands-On Splinting Breakout Session

Ninth Registrant Photo & Video Release*

Tenth Registrant

First Last

Tenth Registrant's Email*

Tenth Registrant's Phone*

Tenth Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Tenth Registrant's Credential (MD, DO, PA, etc)*

Tenth Registrant's Practice/Clinic Name*

Tenth Registrant Hands-On Splinting Breakout

Yes, I am interested in attending a Hands-On Splinting Breakout Session

Tenth Registrant Photo & Video Release*

Billing Information

Credit Card*

Credit Card Billing Address*

Street Address Address Line 2 City State ZIP Code

Total