ATSU MOSDOH Pre-Dental Day April 27th 8AM- 4PM Kirksville
Please fill out the following form in order to RSVP for ATSU’s Pre-Dental Day. There is an optional Friday 5PM April 26th Meet N Greet, and the main event is Saturday April 27th 8AM- 4PM. Early reservation deadline is March 31st ($55), and late registration deadline is April 21st ($65). Payment can be Venmo, cash, or check. Make check payable to MOSDOH ADEA and mail check or cash to treasurer: Tanna Meng 308 South Main Kirksville MO, 63501. Venmo at @MOSDOH-ADEA. Payment is due before deadlines. If you have any questions, feel free to contact Claire Freise at
Name (Last, First) *
Phone Number *
Email *
Address *
Any dietary restrictions? *
Will you be attending the Friday night meet n’ greet? *
Are you interested in housing with a dental student the night before the event? *
School attending/attended:
Year in school:
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Are there any activities you are interested in seeing at this event? (Ex. DAT review, mock interviews, etc.)
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