Registration Form

Thank you for your interest in taking a continuing education course at Tufts University School of Dental Medicine. If you would prefer to register and pay by mail, fax or over the phone, click here.

Please note: Upon completion of this form you will need to continue to our secure online payment gateway in order to process your payment

Please note: We reserve the right to photograph or videotape participants and registrants during our continuing education courses. By participating in or registering for this course, each participant/registrant agrees that we may, for no compensation, (I) photograph or videotape such participant/registrant; and (ii) reproduce, distribute, display, use or publish such photographs or video images and likeness, with or without such participant/registrant’s name, by any method for any lawful purpose, including for example, such purposes as educational programs, publicity, illustration, recruitment, fundraising, advertising and Web content. Such photographs or video images shall be the exclusive property of the University.