Registration Purchase & RSVP Form

General Registration - RSVP & Purchase Form

Please complete the form below to register for this year's Graduation Ceremony and submit your RSVP details. You may purchase up to two registrations (you and a guest).

Registration is $90 per adult $35 per child (child menu, 12 years old or younger).

Make sure to enter any relevant dietary needs. You and your guest will be assigned to seat together during the ceremony. If you have any questions about the event please contact the Medical Education team at mededteam@nicklaushealth.org.

Your Email *

Registration Options *

Purchase Registration - 1 Adult

Your Information

Name *

Dietary Preference *

Dietary Preference Other...

Enter allergies *

Please enter food allergies in the field provided

Purchase Registration - 2 Adults

Your Information

Name *

Dietary Preference *

Dietary Preference Other...

Enter allergies *

Please enter food allergies in the field provided

Your Guest's Information

Name *

Dietary Preference *

Dietary Preference Other...

Enter allergies *

Please enter food allergies in the field provided

Purchase Registration - 1 Adult, 1 Child

Your Information

Name *

Dietary Preference *

Dietary Preference Other...

Enter allergies *

Please enter food allergies in the field provided

Your Guest's Information (Child)

Child guest registration for children 12 years old or younger. Child guests will be served the child's menu option.

Name *

Dietary Preference *

Dietary Preference Other...

Enter allergies *

Please enter food allergies in the field provided

Leave this field blank

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