2022 Brennemann Lectures

NOTE: If you are ALREADY registered and wish to make changes to your information, OR if you wish to register ONLY for any of the FREE CME lectures on Friday or the Nexplanon Training on Saturday, you can NOT use this form, please call 424-262-6590 or send an email to eseaman@lapedsoc.org

Fee

Please select an answer option below to RSVP to the 77th Brennemann Celebration Reception on Friday, September 16 from 5-7 pm at the Disneyland Hotel. The reception will be conveniently located in an area adjacent to the Friday lectures. (We understand that your answer is your best guess at the time of registration)

• Yes, by myself
• Yes, with family
• No
• Maybe

Please indicate which lectures or training session - (you may select any 1 or all 4) that you plan to attend on Friday, September 16 or Saturday, September 17. (Walk ins welcome, but reservations recommended for lectures) The Saturday Nexplanon Training MUST be reserved at least A WEEK in advance. Please see brochure or www.lapedsoc.org for all details for the lectures and the training

• Friday Lecture 1 - 2:00 to 3:00 p.m.
• Friday Lecture 2 - 3:00 to 4:00 p.m.
• Friday Lecture 3 - 4:00 to 5:00 p.m.
• Sat. Sept 17 - Nexplanon Training- 1:45 to 4:45 Need reservation
• None, not able to attend

Select Saturday Box Lunch (lunch is included with registration fee, and will be available to you, whether or not you choose to attend a round table session, please see brochure or www.lapedsoc.org for menu selection details. If you have food allergies or dietary restrictions, please select your lunch option below and email Ellen at eseaman@lapedsco.org concerning your restrictions)

• Turkey & Provolone Sandwich
• Chicken Caesar Salad
• Roasted Vegetable & Cheddar Wrap
• No thanks, I don't need a lunch.

Select Sunday Box Lunch (lunch is included with registration fee, and will be available to you, whether or not you choose to attend a round table session, please see brochure or www.lapedsoc.org for menu selection details. If you have food allergies or dietary restrictions, please select your lunch option below and email Ellen at eseaman@lapedsco.org concerning your restrictions)

• Turkey & Provolone Sandwich
• Chicken Caesar Salad
• Roasted Vegetable & Cheddar Wrap
• No thanks, I don't need a lunch