RSVP - by Saturday, July 25th at 2PM
Registered SBS attendees and one adult (18+) guest ticket are included. Additional adult guests can purchase tickets for $25 per ticket. There is no fee for children and guests under age 18.
SBS Attendee Name (should match conference registration)
*
First Name
Last Name
Middle Initial
Degree/Category
*
Please Select
MD
DO
NP
PA
Resident
Fellow
Student
Other
Program Name (if Resident/Fellow/Student)
Graduation Date
*
Please Select
2024
2025
2026
2027
2028
n/a
Primary State of Interest/1st Choice
*
Secondary State of Interest/2nd Choice
Third State of Interest/3rd Choice
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Job Status
*
Please Select
Currently Looking
Current Fellow
Already signed
Plan on doing a Fellowship
Not quite yet
Not interested
I am interested in exploring:
*
Please Select
Leadership opportunities
Pediatric opportunities
Academic opportunities
Free Standing ED
Travel Team
General Staff opportunities
Are there any other interests you would like to add?
Is the total amount is $0?
Yes
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RSVP- Registered SBS Attendee
Registered SBS attendees participate at no additional charge.
$
Free
Adult Guest
One adult guest (18+) is included with each registered SBS attendee at no additional charge.
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Children/Guests under age 18
Children and guests under age 18 attend for no additional charge. RSVP required.
$
10.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: