Resident Banquet & Registration

Resident Level

PGY 1

PGY 2

PGY 3

PGY 4

Fellow

Medical Student

First name

Last name

Address

Email

Special Dietary Option

Dairy Free

Gluten Free

Nut Free

Vegetarian

Please list any additional food allergies

Schedule of Events

HWSS Scientific Symposium, Friday, June 12 at 8 AM-2 PM

I will be attending alone

I will be attending with a guest

I will not be attending

HWSS Banquet Gala, Friday, June 12 at 6:30 PM

I will be attending alone

I will be attending with a guest

I will not be attending

HWSS Golf Scramble, Saturday, June 13 at 9 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 Banquet

Special Dietary Option

Dairy Free

Gluten Free

Nut Free

Vegetarian

Please list any additional food allergies

Select payment choice

HWSS Resident/Banquet Gala $25

Guest/Banquet Gala $25

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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