2023 Annual Meeting Registration 2023 SPARTAN Annual Meeting Registration Name* First Last Professional DesignationsMDMD, PhDMBBSMScPharmDPhDNPMPHMBAPAOtherJob Title:* Organization or Academic Institution:* Email:* Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country I am a:* SPARTAN Full Member SPARTAN Associate Member SPARTAN Trainee Member Nonmember: Trainee - North America Nonmember: Advanced Practice Provider (PA, NP) - North America Nonmember: Local HCP Nonmember: Global (virtual only) Industry AttendanceWhile we encourage in-person attendance, we are providing the virtual option for those who cannot travel to the meeting. I will travel to Cleveland I will participate virtually MRI WorkshopWalter Maksymowych will teach a three-hour MRI Workshop open to all meeting attendees Thursday, May 18 2:30 - 5:30 p.m. Virtual participation is available. I will attend I will not attend Attendance TBD I am a: Rheumatology Fellow Postdoctoral Fellow Resident Medical Student Other Student Spondyloarthritis Review Course (formerly Trainee Symposium) - Thursday, May 18*Trainees may participate in the 2023 SPARTAN Annual Meeting in one of four ways (see options below). We encourage SPARTAN trainee members and all nonmember trainees with a research interest in spondyloarthritis to meet us in Cleveland. We offer virtual access for those unable travel. SPARTAN will reimburse trainees attending the SpA Review Course and SPARTAN Annual Meeting for up to 3 nights in the conference hotel and up to $600 for airfare, ground transportation and parking. In-person attendance at the Spondyloarthritis Review Course and SPARTAN Annual Meeting in Cleveland In-person attendance at the Spondyloarthritis Review Course only (for local attendees only) Virtual attendance at the Spondyloarthritis Review Course and SPARTAN Annual Meeting Virtual attendance at the Spondyloarthritis Review Course only I plan to:* Attend the Spondyloarthritis Review Course only Attend both the Spondyloarthritis Review Course and SPARTAN Annual Meeting in Cleveland Attend the SPARTAN Annual Meeting only Spondyloarthritis Review Course (formerly Trainee Symposium) - Thursday, May 18*We encourage attendance in Cleveland but are providing virtual access for those unable to travel. SPARTAN will reimburse in-person attendees for up to 3 nights in the conference hotel and up to $500 for airfare. In-person attendance at the Spondyloarthritis Review Course and SPARTAN Annual Meeting in Cleveland In-person attendance at the Spondyloarthritis Review Course only (local attendees only) Virtual attendance at the Spondyloarthritis Review Course and SPARTAN Annual Meeting Virtual attendance at the Spondyloarthritis Review Course only How did you learn about the SPARTAN Spondyloarthritis Review Course? Annual Reception - Friday, May 19*We'll gather at the nearby Rock and Roll Hall of Fame for an evening of food & fun. RSVP required. Yes, I would like to attend No, I do not plan to attend Annual Reception - Friday, May 19*We'll gather at the nearby Rock and Roll Hall of Fame for food and fun. RSVP required. Free for trainees. $50 will be deducted from SPARTAN Full and Associate member expense reimbursements. Yes, I would like to attend No, I do not plan to attend Dietary needsOur menus provide a variety of items to accommodate all dietary preferences and requirements. Please contact lisa@spartangroup.org if you have other dietary needs. Gluten free Dairy free Vegetarian Vegan Human Check: What is 2+3?*CommentsThis field is for validation purposes and should be left unchanged. Δ
