The Walter Grand Neurosurgery Forum

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- Keynotes
- 2023
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- Dr. Grand Tribute
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Register

Home
Speakers
- Keynotes
- 2023
Sponsors
About Us
- Dr. Grand Tribute
Location
Donate

Register

Hello,

Please correct highlighted fields and resubmit.

Thanks,

WGNFS

Welcome to the Dr. Walter Grand Neurosurgical Forum Registration Form

Event Dates: Thursday, April 25th to Saturday, April 27th, 2024
Event Venue: The Lodge & Club at Ponte Vedra, Ponte Vedra Beach, Florida

Full Name(*)

Please type your full name.

Institution

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Address

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E-mail(*)

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Phone Number (Work)

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Phone Number (Cell)

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What meeting days do you plan to attend?

Thursday Evening
Friday
Saturday Invalid Input

Will you be staying at Ponte Vedra Inn and Club?

Yes
No
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Date of Arrival

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Date of Departure

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Events & Activities
Keynote Speaker & Dinner Meeting

Do you plan to attend the Dinner Meeting Thursday, April 27th?

Yes
No Invalid Input

***Spouses/Significant Other are invited to the cocktail/dinner reception then for dessert at the Seahorse.***

Will your spouse/significant other be joining us?

Yes
No Invalid Input

What is your spouse/significant other's name?

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Family Fun Night Friday, April 28th at Ponte Vedra

Will your spouse/significant other be joining us?

Yes
No Invalid Input

Will your children being attending?

Yes
No Invalid Input

How many children will be joining us?

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What are the names and ages of your children who will be attending?

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Beach Blast Family Party Saturday, April 29 at The Surf Club Patio at PV

Do you and your family plan on attending the Beach Blast Family Party Saturday?

Yes
No Invalid Input

Number of Adults

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Number of Children

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