• Registration
   
     
  
 

Dance Medicine Symposium Online Registration

Registration deadline is October 15. 

 

About You
Your Full Name
Your Address
Home Phone
Cell Phone
E-mail Address

Lunch Choice
Please Indicate Your Lunch Choice (included)
Vegetarian
Roast Beef
Turkey
Tuna

Payment Options
Registration Type
Doctor, MedChi Member $35
Doctor, Non-MedChi Member $50
Professional $15
Student $7
I will submit my payment...
By Mail
In Person at the Symposium