2024 Exploring PM&R Open House Registration

Exploring PM&R Open House for pre-med and medical students who are underrepresented in medicine on Wednesday, November 6 in San Diego, CA.

1. Attendee Information

First Name *This question is required.

Last Name *This question is required.

Street Address *This question is required.

Apt/Suite/Office

City *This question is required.

State *This question is required.

Zip *This question is required.

Email Address *This question is required. This question requires a valid email address.

Phone Number *This question is required.