2022 Symposium Registration (Medical Students, Residents and Fellowship Trainees Only

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

February 26, 2022 | In-Person & Virtual, Via Zoom

This FREE registration is for Medical Students, Residents and Fellowship Trainees only. All others must pay to attend the symposium by visiting https://aapca2.org/2022symposium/. Thank you.

1) Please enter your name and last name with credentials as to appear on your badge. *

2) Please provide your email: *

3) Which best describes you? *

I'm a medical student

I'm a Pediatric Resident

I'm in Fellowship training

4) I would like to attend... *

In Person at UCLA

Virtually, Via Zoom

5) What medical school or Residency/Fellowship Program are you attending? *

Questions and comments

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of aapca2.org. Report Abuse

Forms