5th Annual Breast Cancer SymposiumAugust 4-6, 2023Virtual Sign-In Sheet Sign In Sheet PLEASE DECLARE YOUR PARTICIPATION AT THE CONFERENCE BY SELECTING THE DAY(S) YOU ATTENDED BELOW BEFORE COMPLETING THE EVALUATION AND CLAIMING CREDIT. August 4, 2023 * YES I attended NO I did not attend August 5, 2023 * YES I attended NO I did not attend August 6, 2023 * YES I attended NO I did not attend The Conference Planning Committee will review the attendance declarations to validate responses before reporting the credit hours claimed to the ACCME. First Name * I, Last Name * , Degree * , declare I attended the 5th Annual Breast Cancer Symposium based on the selection provided in this online form. Signature signature keyboard Clear If you are human, leave this field blank. Submit / Proceed to course Evaluation Δ