Resident Registration ONLY | HWSS

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2025 HWSS Symposium
HWSS 2025 Additional Donation
Faculty/Alumni Registration ONLY
- Faculty/Alumni Banquet Registration
Resident Registration ONLY
- Resident Banquet Registration
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Resident Non-Banquet Events Registration

Resident Level

PGY1

PGY2

PGY3

PGY4

First Name

Last Name

Address, City, State, Zip

Email

Phone

Special Dietary Option:

Vegetarian

Gluten free

Nut free

Dairy Free

Please list any additional food allergies

SCHEDULE OF EVENTS

HWSS Scientific Symposium, Friday, June 13 at 8 AM-2 PM

I will be attending alone

I will be attending with a guest

I will not be attending

HWSS Golf Scramble, Saturday, June 14 at 8 AM

I will be attending alone

I will be attending with a guest

I will not be attending

Guest Information

Guest First and Last Name for event

Special Dietary Option:

Vegetarian

Gluten free

Nut free

Dairy Free

Please list any additional food allergies

Select event (s) you will attend

HWSS Scientific Symposium

HWSS Golf Scramble

Both Symposium and Golf Scramble

Thanks for registering. See you there!

This form no longer accepts submissions.

Contact

Phone

(901) 448-3511

Email

blewis48@uthsc.edu

Hours

Mon - Fri: 7am - 4pm

Address

The University of Tennessee Health Science Center
910 Madison Ave., 2nd Floor | Memphis, TN 38163

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