The 2018 Pediatric Hospital Medicine Planning Committee invites you to submit requests for event space at this year’s PHM meeting. These requests will be reviewed and approved on a case‐by‐case basis and space availability will be on a first‐come, first‐served. The deadline to submit this request is Wednesday, May 9th, 2018. Please contact Jennifer Padilla, jennifer@academicpeds.org, for any questions or concerns.

* Contact Information

* Event Information

* Event Purpose

* PLEASE NOTE – Space availability is limited and not guaranteed.

Preferred Date:

* Length of Time Requested:

* Food & Beverage to Be Provided (if applicable):

* Event is:

* Please read the following and confirm by marking the check box below.

Rules & Regulations:
  • PHM does not permit any educational programming or satellite symposia during the education program of the Pediatric Hospital Medicine conference. This rule excludes meetings where the participants are exclusively attended by affiliate organization employees. Affiliate organizations are permitted to host hospitality suites and hold social events during non‐meeting hours.
  • Approved events will be scheduled at the discretion of the PHM meeting organizers, utilizing time slots that do not overlap with the meeting and where there is space available.
  • This form must be submitted by the affiliate organization holding the event no later than May 9, 2018.
  • Affiliate organizations obtaining space are responsible for all charges incurred and all coordination related to their event such as food and beverage, audio/visual, etc.
  • Any damage to the event space is the responsibility of the affiliate organization utilizing the space.
  • Affiliate organizations who obtain space may not provide this space to other groups
A hotel and event contact will be provided in your e-mail confirmation upon approval of your event. The PHM 2018 Host hotel (Atlanta Marriot Marquis) will be notified of your approval.

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