Name(Required) First Middle Last Email Address(Required) Phone Number(Required)Conference Registration Fees:Member: $400Per Member Price: $400.00 Quantity: Non Member Physician:$600.00 Physicians couple$600.00 Late Registration Fees after August 1st: (After August 15st, no additional registration will be accepted)Member: $500Per Member Price: $500.00 Quantity: Activities Fees:Friday, September 3rd - 6:00pm - 10:00pm Welcome outdoor buffet at center courtyardPAMA Members registered for conference & their family (including children free)(Required)Members not registered for conference & not members:Ages 13 and up: $40.00# of People Price: $40.00 Quantity: Children: 5 to 12: $25.00# of People Price: $25.00 Quantity: Children under 5 are freeSpecify any food allergies and who the person is:Saturday, September 4th 7:30 am - 11:00 am - Sports (tennis, golf, bicycle) 12:00 pm - 12:30 pm - Lunch at Pre-Atlantic Ballroom 12:30 pm - 5:00 pm - Conference at Atlantic Ballroom 5:10 pm - 6:10 pm - Soccer Game 8:00 pm - 10:00 pm - Latin Jazz Concert at Grand Event Lawn.Please indicate how many people will attend FREE. (including Children)Sports (Tennis - Cycling - Golf - Volleyball - Zumba - Soccer)(Please write the players name for each activity - Tap "plus button" for more players)Player Name (Ex. Jackie M.)Activity (Ex. Tennis, Zumba, Golf) Add RemoveSunday, September 5th 7:30 am - 8:00 am - Breakfast at Pre-Atlantic Ballroom 8:00 pm - 12:30 pm - Conference at Atlantic Ballroom 3:00 pm - 5:00 pm - Volleyball Game 7:00 pm - 10:00 pm - Kids night out at Ocean BallroomQuantity of kids (ages 4 to 16) $50 per child Price: $50.00 Quantity: Menu option for children 4 to 12 years it’s Chicken or Steak and 13 to 16 years, pizza. Please fill the information for each kid:Children Name, age & Food Add RemoveExample: John - 10, Chicken7:00 pm - 10:00 pm - Luau Show and Dinner at Grand Event Lawn (Adult only)Members $150 per couple# of People Price: $150.00 Quantity: Adult Non-Member $100 p/p# of People Price: $100.00 Quantity: 10:00 pm - 12:00 am - Disco Party indoor with DJ at Atlantic BallroomBuffet for Teenager 12 to 16 (Separate area for them)Specify any food allergies and who the person is:Monday, September 6th, 11:00 am - Check Out.Total:
