Registration

Pediatric Reunion and Update 2012

In addition to online registration, you can also register for the event by mailing the registration form to:

Ann Groves
PO Box 14161
Gainesville, FL 32604

If you have any questions, please contact Ann Groves.

Name
Preferred Mailing Address
Street AddressCityState / Province / RegionZIP / Postal CodeCountry
Email
Home Phone
Office Phone
Spouse's Name (if attending)
Children's Names (if attending)
Arrival Date
Departure Date
Lecture - Saturday morning - 8:00am - 12:00pm
- Yes
- No
Lecture - Saturday afternoon Lectures - 1:00pm - 5:00pm
- Yes
- No
Lecture - Saturday afternoon Roundtable Discussions - 1:00pm - 4:00pm
- Yes
- No
Lecture - Sunday morning - 8:00am - 12:00pm
- Yes
- No
Friday Night Welcome Reception - 7:00pm - 9:00pm
Orthopedic Institute - Families Welcome
# Adults - Friday Night
# Children - Friday Night
Saturday: Alumni Dinner and Dance - 7:00pm - 10:00pm
Harn Museum of Art (Music by SmoothRx band featuring our very own Reggie Gonzalez-Peralta)
# Adults - Saturday
Sunday Farewell Lunch 12:30pm
Cancer & Genetics Research Center
# Adults - Sunday
# Children - Sunday
Email
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