SAGES Robotic Resident Course – Resident RSVP Name* First Last Suffix Are you able to attend the course date specified in your emailed acceptance letter? Yes, I confirm my availability to attend the course date specified in my emailed acceptance letter No, I am no longer available for this course Email* Mobile Phone*Please let us know if you require hotel accommodations:*We will book your 1-night hotel room on your behalf for check in the night prior to your selected course. Locals are also welcome to reserve a hotel room, and may consider doing so due to the early start. Yes No Please let us know if you require flight accommodations:*You will be sent instructions explaining how to book your flight itinerary through our travel agent. Yes No Please list any special needs or dietary restrictions, if applicable: Sorry to hear that! We hope that you will apply again in the future.