2014 Trauma Center Summer Training Institute Registration Form
How to Register
To register online, please fill out the form below and fax to (617) 232-1280 or mail to: Zach Levko, The Trauma Center at JRI, 1269 Beacon Street, Brookline, MA 02446. We will hold a space for three (3) business days, pending receipt of your payment.
Register by Mail
To register by mail, please print out the form below and send it with a check payable to “The Trauma Center at JRI”, Attn: Zach Levko, 1269 Beacon Street, Brookline, MA 02446. Registration will be confirmed when payment is received. Space is limited, and registration will be on a first come, first served basis.