New Mexico Academy of Family Physicians Attendee Registration

Register today and join us to earn up to 21.00 Prescribed credits!

Select Your Registration Type *

Name *

First

Last

Designation *

AAFP ID Number *

7 digit number

AAFP ID Number

7 digit number

Email *

Email

Confirm Email

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Would you like to sponsor a student? *

Your registration includes complimentary breakfast, lunch, and snacks all three days, plus one free adult dinner ticket for the special Thursday and Friday dinners. In an effort to reduce food waste, please select the appropriate responses below.

Your registration includes one free adult dinner ticket for Thursday and Friday. If you do not plan on attending the dinner(s), please choose the appropriate response below to help us reduce food waste.

Would you like to attend the all level Yoga class Saturday morning at 7am? *Space is limited to the first 32 participants. *

Yes
No

Which meals will you be joining us for on Thursday? *

Which meals will you be joining us for on Friday? *

Which meals will you be joining us for on Saturday? *

Breakfast
Lunch
I will eat on my own

Do you need to purchase additional dinner meal tickets for family members? Children 5 and under are free. *

Yes
No

Thursday Welcome Dinner - Adult $50

Thursday Welcome Dinner - Child (6-12) $25

Friday Awards Dinner - Adult $55

Friday Awards Dinner - Child (6-12) $30

Total

$0.00

Your registration is finalized once you complete payment after submitting this form. Any unpaid balance will be due when you check in at registration.