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 sa199587@atsu.edu.
Name (Last, First) *
Phone Number *
Email *
Address *
Any dietary restrictions? *
Required
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:
Clear selection
Are there any activities you are interested in seeing at this event? (Ex. DAT review, mock interviews, etc.)
Submit
Never submit passwords through Google Forms.
This form was created inside of A.T. Still University of Health Sciences. Report Abuse