Please complete this form to register. Email mkeahey@emlrc.org with questions.

Life After Residency Retreat: Thriving Beyond Medicine
September 19-20, 2019
Sirata Beach Resort
St. Pete Beach, FL

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* 1. Attendee First Name

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* 2. Attendee Last Name

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* 3. Name of Residency Program

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* 4. Program Year

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* 5. Email Address

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* 6. Please select/register for each the events you will attend:

  Yes I will attend. No I will not attend.
Workshop Day 1: Presentations (September 19; 2-5 pm)
Welcome Reception with Sponsors (September 19; 5 pm)
Dinner - Sponsored by Envision (September 19; 6:30 pm)
After Party - Sponsored by TeamHealth (September 19; 8:30 pm)
Workshop Day 2: Presentations (September 20; 8 am - 2 pm)

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* 7. Are you interested in joining a team or entering a team for the EMRA Quiz Show (Day 1, 4 pm)?

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