02.20.2026 Dallas National Lab

Registration Type

First name

Last name

Title

Other

If Other, please specify

Phone

Primary specialty

If Other, please specify

NPI (National Provider Identifier)

Clinic/Hospital

Clinic/Hospital Address

Address

City

State

ZIP/Postal code

Who is your SPR representative?

Have you implanted a SPRINT before?

Yes

If yes, about how many?

What topics are you most interested in learning during this training lab?

Welcome Reception

Do you plan to attend the welcome reception at the hotel on Friday evening?

Yes

Dietary restrictions

Hotel reservation

Would you like a hotel room reserved for you the night before the event?

Yes

We’re hosting a virtual meeting just for the APPs who work alongside you. If you could share their contact information, we’d love to make sure they’re included in the invite.

Name

02.20.2026 Dallas National Lab

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Dallas Training Lab — Registration

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