To register for the 12th Annual Mini Medical School free public lecture series, please fill in all the information below (phone or email required.) We do not sell or distribute your information:

First Name
Last Name
Address      
Phone         
Email          

Mini Medical School draws a very large crowd. Please select only the dates you plan to attend so others may also join us:
May 6
May 13
May 20
All three nights

Would you like to receive continuing education hours (6 nursing contact hours)?
Yes
No

Would you like to hear from us throughout the year?  Please let us know how:
Through our print publications     
Via our quarterly email newsletter
Both

Have you attended Mini Medical School before?
Yes
No

How did you hear about it?
Mini Medical School postcard
Beyond Medicine (CPMC's newsletter)
Institute for Health & Healing e-newsletter or website
Word-of-mouth
Other