2013 HAMBLETONIAN CE VETERINARY MEETING
REGISTRATION FORM
NAME: _________________________________________________ PHONE: ______-______-___________
ADDRESS:_______________________________________________________________________________
FAX: ______-______-_________
EMAIL: _____________________________@____________________
CONTINUING EDUCATION WET LABS
THURSDAY, AUGUST 1, 2013
One 4-Hour (Half-Day) Session: $400
One Full-Day or Two Half-Day Sessions (Total 8 Hours): $700
WET LAB SESSIONS - PLEASE PUT A CHECK BY YOUR SELECTION(S)
____ 8:00 AM – 5:00 PM – Mark Crisman, DVM, MS, DACVIM & Megan Belcher, LVT, RVT– Equine
Respirator Disease: Prep & Support During Diagnostic Procedures – NOTE: THIS FULL-DAY LAB IS FOR
VETERINARY TECHNICIANS ONLY AND IS OFFERED FREE OF CHARGE
____ 8:00 AM – 5:00 PM – Travis Henry, DVM – Equine Dentistry: Phase One
____ 8:00 AM - 12:00 Noon– Alfredo Romero, DVM, DACVS & Jeff Schaffer, DVM – Regenerative Therapies –
Proven Clinical Results
____ 8:00 AM - 12:00 Noon – Patrick Reilly, Chief Farrier/UPenn – Glue-on Shoes & Hoof Reconstruction
Techniques
____ 1:00 – 5:00 PM – Kevin May, DVM – Hands-on Equine Acupuncture Instruction
____ 1:00 – 5:00 PM – Kurt Selberg, DVM – Successfully Obtaining Radiographs of the Equine Spine: Tips &
Tricks to Optimize Your Radiographs
____ 1:00 – 5:00 PM – Bruce Coren, DVM, MS – Integrating High Power Class IV Laser Therapy into Equine
Medicine
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CONTINUING EDUCATION SEMINAR – FREE TO VETERINARIANS & VET TECHS
FRIDAY, AUGUST 2, 2013
SEMINAR SELECTIONS - CHECK ONE TALK PER TIME SLOT:
8:15 - 9:15 AM (select one)
____ James Orsini, DVM, DACVIM – Back to the Future: Laminitis 2007–2013
____ Stephen Reed, DVM, DACVIM – Controversies in Equine Neurology: Focus on EPM
9:20 – 10:20 AM (select one)
____ Patrick McCue DVM, PhD, DACT & Wendy Vaala, VMD, DACVIM – Updates in Perinatology:
Abnormal Events during Pregnancy, Delivery & Early Foal Development – Part One
____ Anna C. Welsch, DVM – International Movement of Horses – USDA Accreditation CE Module #8
10:50 – 11:50 AM (select one)
____ Patrick McCue DVM, PhD, DACT & Wendy Vaala, VMD, DACVIM – Updates in Perinatology:
Abnormal Events during Pregnancy, Delivery & Early Foal Development – Part Two
____ Omar Maher, DVM, DACVS, DACVSMR – Lameness in Sport Horses & Use of Computed Tomography
1:50 – 2:50 PM (select one)
____ Thomas Divers, DVM, DACVIM, DACVECC – Unraveling the Mystery of Equine Lyme Disease: One
Step at a Time
____ Mary Beth Gordon, PhD – Electrolytes: How & Why to Use Them in Horses
2:55 – 3:55 PM (select one)
____ John Donecker, VMD, MS & Emily Graves, VMD, MS, DACVIM – Unexpected Medical Outcomes: A
Case-based Approach about Resources to Address Unexpected Outcomes: Part One
____ James Orsini, DVM, DACVIM – What’s Hot & What’s Cool: Emerging Technologies for Laminitis
Treatment
4:30 – 5:30 PM (select one)
____ John Donecker, VMD, MS & Emily Graves, VMD, MS, DACVIM – Unexpected Medical Outcomes: A
Case-based Approach about Resources to Address Unexpected Outcomes: Part Two
____ Myra Barrett, DVM, MS, DACVR – Diagnostic Imaging of the Equine Pastern: A Multi-Modality
Approach
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VETERINARY DINNER AT THE MEADOWLANDS RACETRACK - $50 PER PERSON
____ I will be attending the Seminar Dinner on Friday evening August 2nd at Pegasus Restaurant. I will
be accompanied by the following guest(s) _________________________________________________
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PAYMENT*
Payment for the CE Wet Labs ($400 per 4-hour session; $700 for one 8-hour session or two 4-hour
sessions) and the Veterinary Seminar Dinner ($50 per person) can be paid by check made out to First
Choice Marketing. If you prefer, you can pay by credit card by providing your credit card details below.
*NOTE: PLEASE REGISTER EARLY. THIS YEAR ALL REGISTRATIONS RECEIVED AFTER
FRIDAY, JULY 26TH, WILL INCUR A $50 LATE REGISTRATION FEE
Wet Labs:
____ One 4-Hour Wet Lab @ $400
____ One 8-Hour or Two 4-Hour Wet Labs @ $700
Veterinary Seminar Dinner @ $50 per Person x Number of Reservations ____ = $__________
____$50 Late Fee for Registration Received After Friday, July 26th
Total Payment Due: $_____________________
____ I have enclosed a check in the amount of $_________ made out to First Choice Marketing
____ I wish to pay by credit card (MasterCard or VISA only). My credit card information is:
Name as it appears on card ___________________________________________________
MC/VISA (Circle one) Card #___________________________________________ Security Code______
Expiration Date________ Billing Address_____________________________________________________
___________________________________________________________________________________________
Please respond with your selections and payment in one of the following 3 ways:
1) Fax your completed Registration Form and payment information to Marie at 908-654-8464
2) Mail your completed Registration Form and payment to Marie Hagerty, 17 Fieldcrest Drive, Scotch
Plains, NJ 07076
3) Email your completed Registration Form to Marie Hagerty at marie@firstchoicemarketing.us (don’t
forget to list a Wet Lab session and/or Seminar selection for each time slot).
We do not recommend you include credit card information in an email. Please phone or fax your
credit card information to us.