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Anatomage Table Request Form

Instructions: Please fill out the following form to request space and time for use of the Anatomage Table.

The table will be house in the 2600 Classroom Suite where space can be requested the table in some cases can be transported to a specific lab or classroom.

Request should be submitted two weeks prior to requested date if at all possible.

Have you received training prior to request or scheduled use of the Anatomage table:
     
Please remove any special characters, email addresses, and URLs.
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Broken Aria Reference
Anatomage Table Request Form Permission for Activities in Ambulance and Birthing Simulation