<br style="clear:both;" /> <h2 style="color: #285C00; margin:0; padding:0;">Day {0} Details</h2> <div id="day-{0}" class="day"> <div class="tabs" id="tabs-{0}" style="font-size: 13px;"> <p style="padding: 10px;"><label for="item[{0}][date]">Date:</label> <input type="text" name="item[{0}][date]" id="item[{0}][date]" class="date" /></p> <ul> <li><a href="#tabs-1-{0}">SITC</a></li> <li><a href="#tabs-2-{0}">Education Center</a></li> <li><a href="#tabs-3-{0}">Virtual Patient Care Center</a></li> <li><a href="#tabs-4-{0}">Catering Needs</a></li> <li><a href="#tabs-5-{0}">Other Requirements</a></li> </ul> <div id="tabs-1-{0}"> <div class="checkboxes half"> <p><strong>Facilities Requested</strong></p> <p> <!-- <label> <input type="checkbox" name="item[{0}][sitc-fac][]" value="Classroom 1A" id="item[{0}][sitc-fac]_0" /> Classroom 1A</label> <label> <input type="checkbox" name="item[{0}][sitc-fac][]" value="Classroom 1B" id="item[{0}][sitc-fac]_1" /> Classroom 1B</label> --> <label> <input type="checkbox" name="item[{0}][sitc-fac][]" value="Robotics Conference Room" id="item[{0}][sitc-fac]_2" /> Robotics Conference Room</label> <label> <input type="checkbox" name="item[{0}][sitc-fac][]" value="Robotics Suite" id="item[{0}][sitc-fac]_3" /> Robotics Suite</label> <label> <input type="checkbox" name="item[{0}][sitc-fac][]" value="CT Scan" id="item[{0}][sitc-fac]_4" /> CT Scan</label> <label> <input type="checkbox" name="item[{0}][sitc-fac][]" value="Trauma OR" id="item[{0}][sitc-fac]_5" /> Trauma OR</label> <label> <input type="checkbox" name="item[{0}][sitc-fac][]" value="Hybrid OR" id="item[{0}][sitc-fac]_6" /> Hybrid OR</label> <label> <input type="checkbox" name="item[{0}][sitc-fac][]" value="Surgical Skills Lab" id="item[{0}][sitc-fac]_7" /> Surgical Skills Lab</label> <label> # of stations <input type="text" name="item[{0}][sitc-fac-surgical-stations]" id="sitc-fac-surgical-stations" size="5"/> </label> </p> <p style="clear:both;">Do you need classroom space?:<br /> <label style="float: left; width:auto;"> <input type="radio" name="item[{0}][site-classroom]" value="Yes" id="site-classroom_0" /> Yes</label> <label style="float: left; width:auto;"> <input type="radio" name="item[{0}][site-classroom]" value="No" id="site-classroom_1" /> No</label> </p> </div> <div class="half"> <p><strong>SITC Set-Up Plans</strong></p> <p> <label for="tissueType">Tissue Needs:</label> <input type="text" name="item[{0}][tissueType]" id="tissueType" /> </p> <p> <label for="summary">Procedural Summary:</label> <input type="text" name="item[{0}][summary]" id="summary" /> </p> <p class="checkboxes"> <label for="standardInstrumentSet">Standard Instrument Set Required:</label> <!--<input type="text" name="item[{0}][standardInstrumentSet]" id="standardInstrumentSet" />--> <label> <input type="checkbox" name="item[{0}][standardInstrumentSet][]" value="Saws" id="[standardInstrumentSet]_0" /> Saws</label> <label> <input type="checkbox" name="item[{0}][standardInstrumentSet][]" value="Drills" id="[standardInstrumentSet]_0" /> Drills</label> <label> <input type="checkbox" name="item[{0}][standardInstrumentSet][]" value="Microscope" id="[standardInstrumentSet]_0" /> Microscope</label> <label> <input type="checkbox" name="item[{0}][standardInstrumentSet][]" value="C-arms" id="[standardInstrumentSet]_0" /> C-arms</label> <label> <input type="checkbox" name="item[{0}][standardInstrumentSet][]" value="Ultrasound" id="[standardInstrumentSet]_0" /> Ultrasound</label> </p> <p style="clear:both;"> <br /> Micro Power<br /> <label for="mpDrills">Drills:</label> <input type="text" name="item[{0}][mpDrills]" id="mpDrills" size="5" /> <label for="mpSaws">Saws:</label> <input type="text" name="item[{0}][mpSaws]" id="mpSaws" size="5" /> </p> <p> <label for="additionalInstrumentation">Additional Instrumentation Needed:</label> <input type="text" name="item[{0}][additionalInstrumentation]" id="additionalInstrumentation" /> </p> </div> <br style="clear:both;" /> <br style="clear:both;" /> <a target="_blank" href="pdfs/CAMLS_Floorplan_1.pdf" class="btn-download" style="float: left;">Download Floor Plan PDF</a> <br style="clear:both;" /> </div> <div id="tabs-2-{0}"> <div class="checkboxes half"> <p><strong>Facilities Requested</strong></p> <p> <label> <input type="checkbox" name="item[{0}][ec-fac][]" value="Auditorium" id="[ec-fac]_0" /> Auditorium</label> <label> <input type="checkbox" name="item[{0}][ec-fac][]" value="Pre-Function" id="[ec-fac]_1" /> Pre-Function</label> <label> <input type="checkbox" name="item[{0}][ec-fac][]" value="Exec. Boardroom" id="[ec-fac]_2" /> Exec. Boardroom</label> <label> <input type="checkbox" name="item[{0}][ec-fac][]" value="Dining Room" id="[ec-fac]_3" /> Dining Room</label> <label> <input type="checkbox" name="item[{0}][ec-fac][]" value="Catering Kitchen" id="[ec-fac]_4" /> Catering Kitchen</label> <!-- <label> <input type="checkbox" name="item[{0}][ec-fac][]" value="Classroom 2A" id="[ec-fac]_5" /> Classroom 2A</label> <label> <input type="checkbox" name="item[{0}][ec-fac][]" value="Classroom 2B" id="[ec-fac]_6" /> Classroom 2B</label> <label> <input type="checkbox" name="item[{0}][ec-fac][]" value="Classroom 2C" id="[ec-fac]_7" /> Classroom 2C</label> <label> <input type="checkbox" name="item[{0}][ec-fac][]" value="Classroom 2D" id="[ec-fac]_7" /> Classroom 2D</label> <label> <input type="checkbox" name="item[{0}][ec-fac][]" value="Classroom 2C & 2D" id="[ec-fac]_7" /> Classroom 2C & 2D</label> --> </p> <p style="clear:both;">Do you need classroom space?:<br /> <label style="float: left; width:auto;"> <input type="radio" name="item[{0}][ec-classroom]" value="Yes" id="ec-classroom_0" /> Yes</label> <label style="float: left; width:auto;"> <input type="radio" name="item[{0}][ec-classroom]" value="No" id="ec-classroom_1" /> No</label> </p> </div> <div class="half"> <p><strong>Education Center Set-Up Plans</strong></p> <p>Non-Fixed Seating Rooms:<br /> <label> <input type="checkbox" name="item[{0}][nfSeatingRooms][]" value="Schoolroom" id="[nfSeatingRooms]_1" /> Schoolroom</label> <label> <input type="checkbox" name="item[{0}][nfSeatingRooms][]" value="Theater" id="[nfSeatingRooms]_2" /> Theater</label> <label> <input type="checkbox" name="item[{0}][nfSeatingRooms][]" value="U-Shape" id="[nfSeatingRooms]_3" /> U-Shape</label> <br /> <label class="clear"> <input type="checkbox" name="item[{0}][nfSeatingRooms][]" value="Other" id="[nfSeatingRooms]_4" /> </label> <label> Other: <input type="text" name="item[{0}][nfSeatingRoomsOther]" id="nfSeatingRoomsOther"/> </label> </p> <p>Standard AV (projector, screen, mic):<br /> <label> <input type="radio" name="item[{0}][standardAV]" value="Yes" id="standardAV_0" /> Yes</label> <label> <input type="radio" name="item[{0}][standardAV]" value="No" id="standardAV_1" /> No</label> </p> <p> Additional Needs:<br /> <label for="additionalNeeds"></label> <input type="text" name="item[{0}][additionalNeeds]" id="item[{0}][additionalNeeds]" /> </p> </div> <br style="clear:both;" /> <br style="clear:both;" /> <a target="_blank" href="pdfs/CAMLS_Floorplan_2.pdf" class="btn-download" style="float: left;">Download Floor Plan PDF</a> <br style="clear:both;" /> </div> <div id="tabs-3-{0}"> <div class="checkboxes third"> <p><strong>Facilities Requested</strong></p> <p> <!-- <label> <input type="checkbox" name="item[{0}][vpc-fac][]" value="Debrief 1" id="[vpc-fac]_0" /> Debrief 1</label> <label> <input type="checkbox" name="item[{0}][vpc-fac][]" value="Debrief 2" id="[vpc-fac]_1" /> Debrief 2</label> <label> <input type="checkbox" name="item[{0}][vpc-fac][]" value="Debrief 3" id="[vpc-fac]_2" /> Debrief 3</label> <label> --> <input type="checkbox" name="item[{0}][vpc-fac][]" value="Team Training #1-5" id="[vpc-fac]_3" /> Team Training #1-5</label> <label> <input type="checkbox" name="item[{0}][vpc-fac][]" value="Recep. Desk" id="[vpc-fac]_4" /> Recep. Desk</label> <label> <input type="checkbox" name="item[{0}][vpc-fac][]" value="Ind. Training 1-8" id="[vpc-fac]_5" /> Ind. Training 1-8</label> <label> <input type="checkbox" name="item[{0}][vpc-fac][]" value="Exam Room 1-6" id="[vpc-fac]_6" /> Exam Room 1-6</label> <label> <input type="checkbox" name="item[{0}][vpc-fac][]" value="Computer Training Room" id="[vpc-fac]_7" /> Computer Training Room</label> </p> <p style="clear:both;">Do you need any debriefing rooms?:<br /> <label style="float: left; width:auto;"> <input type="radio" name="item[{0}][vpc-debrief]" value="Yes" id="vpc-debrief_0" /> Yes</label> <label style="float: left; width:auto;"> <input type="radio" name="item[{0}][vpc-debrief]" value="No" id="vpc-debrief_1" /> No</label> </p> </div> <div class="checkboxes third"> <p><strong>Simulators Requested</strong></p> <p> <label> <input type="checkbox" name="item[{0}][simulators][]" value="Endoscopic" id="item[{0}][simulators]_0" /> Endoscopic</label> <label> <input type="checkbox" name="item[{0}][simulators][]" value="Laparoscopic" id="item[{0}][simulators]_1" /> Laparoscopic</label> <label> <input type="checkbox" name="item[{0}][simulators][]" value="Interventional Vascular" id="item[{0}][simulators]_2" /> Interventional Vascular</label> <label> <input type="checkbox" name="item[{0}][simulators][]" value="Urologic" id="item[{0}][simulators]_3" /> Urologic</label> <label> <input type="checkbox" name="item[{0}][simulators][]" value="Gynecologic Procedures" id="item[{0}][simulators]_4" /> Gynecologic Procedures</label> <label> <input type="checkbox" name="item[{0}][simulators][]" value="High-fidelity Human Patient" id="item[{0}][simulators]_5" /> High-fidelity Human Patient</label> <label> <input type="checkbox" name="item[{0}][simulators][]" value="Combat Casualty" id="item[{0}][simulators]_6" /> Combat Casualty</label> <label> <input type="checkbox" name="item[{0}][simulators][]" value="Birthing Simulators" id="item[{0}][simulators]_7" /> Birthing Simulators</label> <label> Other <input type="text" name="item[{0}][simulators-other]" id="simulators-other" size="5"/> </label> </p> </div> <div class="third"> <p><strong>VPCC Set-Up Plans</strong></p> <p> <label>Type of Simulator Needed: <input type="text" name="item[{0}][simulatorType]" id="item[{0}][simulatorType]" /></label> </p> <p> <label>Procedure Summary: <input type="text" name="item[{0}][procedureSummary]" id="item[{0}][procedureSummary]" /></label> </p> <p>In-person Standardization Patients Needed:<br /> <label> <input type="radio" name="item[{0}][patientsNeeded]" value="Yes" id="patientsNeeded_0" /> Yes</label> <label> <input type="radio" name="item[{0}][patientsNeeded]" value="No" id="patientsNeeded_1" /> No</label> </p> <p>Video Recording Needed:<br /> <label> <input type="radio" name="item[{0}][videoNeeded]" value="Yes" id="videoNeeded_0" /> Yes</label> <label> <input type="radio" name="item[{0}][videoNeeded]" value="No" id="videoNeeded_1" /> No</label> </p> </div> <br style="clear:both;" /> <br style="clear:both;" /> <a target="_blank" href="pdfs/CAMLS_Floorplan_3.pdf" class="btn-download" style="float: left;">Download Floor Plan PDF</a> <br style="clear:both;" /> </div> <div id="tabs-4-{0}"> <div class="checkboxes"> <p>Catering Plan: <br /> <label> <input type="radio" name="item[{0}][catering]" value="Group arranging catering" id="catering_0" /> Group arranging catering</label> <label> <input type="radio" name="item[{0}][catering]" value="Vendor & menu assistance needed" id="catering_1" /> Vendor & menu assistance needed</label> </p> <br style="clear:both;" /> <p>Meals Planned: <br /> <label> <input type="checkbox" name="item[{0}][cateringPlan][]" value="Breakfast" id="[cateringPlan]_0" /> Breakfast</label> <label> <input type="checkbox" name="item[{0}][cateringPlan][]" value="Snack/Break" id="[cateringPlan]_1" /> Snack/Break</label> <label> <input type="checkbox" name="item[{0}][cateringPlan][]" value="Lunch" id="[cateringPlan]_2" /> Lunch</label> <label> <input type="checkbox" name="item[{0}][cateringPlan][]" value="Reception" id="[cateringPlan]_3" /> Reception</label> <label> <input type="checkbox" name="item[{0}][cateringPlan][]" value="Dinner" id="[cateringPlan]_4" /> Dinner</label> </p> <br style="clear:both;" /> <p>Catering Kitchen Required: <br /> <label> <input type="radio" name="item[{0}][cateringKitchen]" value="Yes" id="cateringKitchen_0" /> Yes</label> <label> <input type="radio" name="item[{0}][cateringKitchen]" value="No" id="cateringKitchen_1" /> No</label> </p> </div> </div> <div id="tabs-5-{0}"> <div class="checkboxes half"> <p><strong>Audio/Visual Needs</strong></p> <p> <label> <input type="checkbox" name="item[{0}][av][]" value="Video Recording" id="av_0" /> Video Recording</label> <br /> <label> <input type="checkbox" name="item[{0}][av][]" value="Video Streaming from an outside facility" id="av_1" /> Video Streaming from an outside facility</label> <br /> <label> <input type="checkbox" name="item[{0}][av][]" value="Easles" id="av_2" /> Easles</label> <br /> <label> <input type="checkbox" name="item[{0}][av][]" value="A/V tech on site for duration of program" id="av_3" /> A/V tech on site for duration of program</label> <br /> <label> <input type="checkbox" name="item[{0}][av][]" value="Microphones" id="av_4" /> Microphones</label> <br /> <label> <input type="checkbox" name="item[{0}][av][]" value="Audience Response System" id="av_5" /> Audience Response System</label> <br /> </p> <br style="clear:both;" /> <p><strong>Meeting Planning Services</strong></p> <p> <label> <input type="checkbox" name="item[{0}][meetingServices][]" value="Securing a hotel room block" id="meetingServices_0" /> Securing a hotel room block</label> <br /> <label> <input type="checkbox" name="item[{0}][meetingServices][]" value="Arrangement of printing services" id="meetingServices_1" /> Arrangement of printing services</label> <br /> <label> <input type="checkbox" name="item[{0}][meetingServices][]" value="Applying for grants" id="meetingServices_2" /> Applying for grants</label> <br /> <label> <input type="checkbox" name="item[{0}][meetingServices][]" value="Arranging transportation" id="meetingServices_3" /> Arranging transportation</label> <br /> <label> <input type="checkbox" name="item[{0}][meetingServices][]" value="Arrangement of off-site entertaining activities" id="meetingServices_4" /> Arrangement of off-site entertaining activities</label> <br /> </p> </div> <div class="half"> <p><strong>Exhibitors</strong></p> <p> <label for="exhibitorsNum">Number of exhibitors:</label> <input type="text" name="item[{0}][exhibitorsNum]" id="exhibitorsNum-{0}" /> </p> <p> <label for="exhibitorNeeds">Needs (tables, electricity, etc.)</label> <input type="text" name="item[{0}][exhibitorNeeds]" id="exhibitorNeeds-{0}" /> </p> <br style="clear:both;" /> <p><strong>Parking</strong></p> <p> Will attendees be paying on their own or will the group be paying?<br /> <label> <input type="radio" name="item[{0}][parkingPayment]" value="Individual" id="parkingPayment_0{0}" /> Individual</label> <label> <input type="radio" name="item[{0}][parkingPayment]" value="Group" id="parkingPayment_1-{0}" /> Group</label> </p> <p> <label>How many team training rooms will you need? <input type="text" name="item[{0}][trainingRooms]" id="item[{0}][trainingRooms]" /></label> </p> </div> </div> <br style="clear:both;" /> </div> </div>
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Please provide us with as much detail about your program needs by completing the information below. After you have submitted your information a CAMLS representative will contact you to clarify your needs and begin to create a custom proposal for your program.
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