Back to Graduation MenuUse this form to submit your and your guests' RSVP for the Graduation Ceremony. If you have any questions about the event please contact the Medical Education team at mededteam@nicklaushealth.orgGraduates receive up to three complimentary guests. Check the "Add Guest" option to enter your guest's details. After adding your complimentary guests, you may then register up to two (2) additional registrations (You will be taken to a payment window after submitting the form).Make sure to enter any relevant dietary needs. All members of your party will be assigned to seat together at the evening event. Graduate Information Select your class * - Select -Medical Residency GraduateDental Residency GraduatePharmacy Residency GraduatePsychology Fellowship GraduatePsychology Internship GraduateMedical Subspecialty Fellowship Graduate Name * Your email * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesOther... Dietary Preference Other... List Food Allergies * Please enter food allergies in the field provided Add a guest Graduates can invite up to three complimentary guests Add a guest Guest 1Enter the information for your first guest below Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Add a guest Add a second guest Guest 2Enter the information for your second guest below Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Add a guest Add a third guest Guest 3Enter the information for your third guest below Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Number of child menus * How many child menu options will you be requesting for your guests? - Select -No Child MenusOne (1)Two (2)Three (3) Additional paid guests Graduates can add up to two (2) paid guests to their group. Additional adult guests are $90 each, and additional child guests are $35. If you wish to register additional paid guests, select from the options below. - No Additional Registrations -+1 - One Adult Guest ($90)+1 - Child Guest ($35)+2 - Two Adult Guests ($180)+2 - One Adult, One Child ($125)+2 - Two Child Guests ($70) Purchase is needed for additional guests. Enter their information below, you will be sent to the payment window after submitting this form. Paid Guests - 1 AdultGuest 4 (Paid) Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Paid Guests - 1 ChildChild guest registration for children 12 years old or younger. Child guests will be served the child's menu option.Guest 4 (Paid) Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Paid Guests - 2 AdultsGuest 4 (Paid) Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Guest 5 (Paid) Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Paid Guests - 1 Adult, 1 ChildGuest 4 (Paid Adult) Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Guest 5 (Paid Child)Child guest registration for children 12 years old or younger. Child guests will be served the child's menu option. Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Paid Guests - 2 ChildChild guest registration for children 12 years old or younger. Child guests will be served the child's menu option.Guest 4 (Paid) Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Guest 5 (Paid) Name * Dietary Preference * - Choose from list -No PreferenceVegeterianGluten FreeFood AllergiesChild MenuOther... Dietary Preference Other... Enter allergies * Please enter food allergies in the field provided Leave this field blank
