AKMG New York Ruby Convention 2019
Thank you for registering for the annual AKMG Ruby Convention in New York City. In order to make this a memorable experience, we ask that you fill out this Google form by March 31, 2019 so that we can plan the event meticulously. If you have any technical issues in submitting the form, please email to akmgnyconvention2019@gmail.com. Please submit the form before March 31, 2019.

Thank you and we look forward to seeing you this summer!

Best Regards

Dr. Jyothi Thomas & Dr. Liz Poomkudy
Registration Committee

Email address *
First Name *
Your answer
Last Name *
Your answer
How many people are registered under your name for the AKMG Convention? *
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Please specify your specialty. *
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Is your spouse a physician? If so, what is their specialty?
Your answer
Are you bringing any children to the event? *
If you responded yes to the previous question, please list the ages of your children (ages separated by comma)
Your answer
Do you have any activities to suggest for children?
Your answer
Have you reserved a room with Sheraton New York Times Square Hotel? *
If you answered no to the previous question, where will you be staying?
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Are any of your children medical students? Are they willing to volunteer for organizing events?
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Please specify how many in your party are vegetarian.
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Does anyone in your party have a food allergy? Please provide details.
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Do you have any preference to sit with someone during the Gala event? If yes, please specify their name(s).
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Are you planning to bring any additional friends for the cruise? If yes, how many?
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