UVA Cardiovascular Medicine Centennial Celebration: Staff and Resident RSVP

First Name*

Last Name*

Nametag Name (e.g., John Smith, Jr., Beth Jones)*

Email Address*

Please select the events you will be attending:*

Entree for Saturday Night: Boar's Head Dinner

Will you be bringing a guest?*

Name of Guest

Please select the events your guest will be attending:*

Entree for Saturday Night: Boar's Head Dinner

Does anyone in your party have dietary restrictions or allergies?*

Please describe dietary restrictions here.

Does anyone in your party have any mobility restrictions?*

Please describe mobility restrictions here.

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