Wine Down after Rounds at SOM Alumni/Faculty Form

Please register your attendance to this event below.

*
- I/we will attend the Wine Down after Rounds at SOM on Thursday, April 13, from 6:00 to 8:00 PM in Hiebert Lounge
Name*
First Last
Guest Name
First Last
Email Address*
Affiliation*
- Alumna/Alumnus
- Faculty
- Both
I am interested in hosting a student table in my discipline.*
- Yes
- No
Class Year (write N/A if not applicable)*
Medical Specialty (write N/A if not applicable)*
Comments