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Student registration is for 4:30pm on Friday and Saturday only. If students want to sit in on lectures Wednesday, Thrusday and/or Friday, they are welcome to sit in on any lecture, but meals/snacks are not included for those days in the student registration fee.

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Description	Price $	Add. Reg. Price $
Member Full Conference	$	$
Full Conference + Membership Dues	$	$
Member One Day	$	$
Member One Day + Membership Dues	$	$
Non Member Full Conference	$	$
Non Member One Day	$	$
Member Two Day Registration	$	$
Student Member-Friday Afternoon and Saturday Only	$	$
Student Non Member-Friday Afternoon and Saturday Only	$	$
Student Full Conference-Includes all meals that are not industry sponsored	$	$

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Workshops

**Disclaimer: Active Shooter Workshop** Please be advised that this workshop will include realistic trauma scenarios, featuring depictions of deceased and severely injured patients. These simulations are designed to prepare participants for high-stress situations and may be intense or disturbing. By signing up you acknowledge this this disclaimer.

Description	Price $	Qty	Total $
EKG's for the Primary Care Provider Pitfalls to Avoid -Friday 8:00 am -9:30 am

Active Shooter Workshop: Participate in a realistic assessment, triage and rapid response scenario. Space Limited. Friday-3:00pm - 4:30 pm

Join us after the member meeting on Friday evening from 7 pm to 9 pm to raise funds for the work of MdAPA's Legislative Committee! We will gather in the Lobby Bar for this casual event. Your ticket will include 2 drink tickets, with the rest of the fee going directly to help with legislative work.
Legislative Fund Raiser

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1. What Day Will You Attend? *	Wednesday Thursday Friday Saturday
2. What Days Will You Attend? Pick Two *	Wednesday Thursday Friday Saturday
3. NCCPA Number *
4. Specialty *
5. Meals and snacks will be provided throughout the conference. If you have food allergies or specific restrictions please plan to bring your own *	I Acknowledge
6. ADA Needs
7. Please check Friday activity function you will attend	MdAPA Mingle with Attendees and Sponsors in the Sponsorship Hall-Friday Night 4:00 pm - 5:30 pm Legislative Victory Celebration-7:00 pm - 9:00 pm
8. Please check the Saturday activity functions you will attend	SOLD OUT Student Challenge Event-7:00 - 9:00 pm

For additional registrant 1
1. What Day Will You Attend? *	Wednesday Thursday Friday Saturday
2. What Days Will You Attend? Pick Two *	Wednesday Thursday Friday Saturday
3. NCCPA Number *
4. Specialty *
5. Meals and snacks will be provided throughout the conference. If you have food allergies or specific restrictions please plan to bring your own *	I Acknowledge
6. ADA Needs
7. Please check Friday activity function you will attend	MdAPA Mingle with Attendees and Sponsors in the Sponsorship Hall-Friday Night 4:00 pm - 5:30 pm Legislative Victory Celebration-7:00 pm - 9:00 pm
8. Please check the Saturday activity functions you will attend	SOLD OUT Student Challenge Event-7:00 - 9:00 pm

For additional registrant 2
1. What Day Will You Attend? *	Wednesday Thursday Friday Saturday
2. What Days Will You Attend? Pick Two *	Wednesday Thursday Friday Saturday
3. NCCPA Number *
4. Specialty *
5. Meals and snacks will be provided throughout the conference. If you have food allergies or specific restrictions please plan to bring your own *	I Acknowledge
6. ADA Needs
7. Please check Friday activity function you will attend	MdAPA Mingle with Attendees and Sponsors in the Sponsorship Hall-Friday Night 4:00 pm - 5:30 pm Legislative Victory Celebration-7:00 pm - 9:00 pm
8. Please check the Saturday activity functions you will attend	SOLD OUT Student Challenge Event-7:00 - 9:00 pm

For additional registrant 3
1. What Day Will You Attend? *	Wednesday Thursday Friday Saturday
2. What Days Will You Attend? Pick Two *	Wednesday Thursday Friday Saturday
3. NCCPA Number *
4. Specialty *
5. Meals and snacks will be provided throughout the conference. If you have food allergies or specific restrictions please plan to bring your own *	I Acknowledge
6. ADA Needs
7. Please check Friday activity function you will attend	MdAPA Mingle with Attendees and Sponsors in the Sponsorship Hall-Friday Night 4:00 pm - 5:30 pm Legislative Victory Celebration-7:00 pm - 9:00 pm
8. Please check the Saturday activity functions you will attend	SOLD OUT Student Challenge Event-7:00 - 9:00 pm

For additional registrant 4
1. What Day Will You Attend? *	Wednesday Thursday Friday Saturday
2. What Days Will You Attend? Pick Two *	Wednesday Thursday Friday Saturday
3. NCCPA Number *
4. Specialty *
5. Meals and snacks will be provided throughout the conference. If you have food allergies or specific restrictions please plan to bring your own *	I Acknowledge
6. ADA Needs
7. Please check Friday activity function you will attend	MdAPA Mingle with Attendees and Sponsors in the Sponsorship Hall-Friday Night 4:00 pm - 5:30 pm Legislative Victory Celebration-7:00 pm - 9:00 pm
8. Please check the Saturday activity functions you will attend	SOLD OUT Student Challenge Event-7:00 - 9:00 pm

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