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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:
*
Friday, June 16: Rotunda Cocktail Reception
Saturday, June 17: Speaker Presentations and Breakfast
Saturday, June 17: Lunch
Saturday, June 17: Reception and Dinner at Boars Head
Entree for Saturday Night: Boar's Head Dinner
Chicken
Salmon
Vegetarian
Will you be bringing a guest?
*
Yes
No
Name of Guest
Please select the events your guest will be attending:
*
Friday, June 16: Rotunda Cocktail Reception
Saturday, June 17: Reception and Dinner at Boars Head
Entree for Saturday Night: Boar's Head Dinner
Chicken
Salmon
Vegetarian
Does anyone in your party have dietary restrictions or allergies?
*
Yes
No
Please describe dietary restrictions here.
Does anyone in your party have any mobility restrictions?
*
Yes
No
Please describe mobility restrictions here.
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