To register for the 11th 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:
April 2
April 9
April 16
April 23
All four nights

Would you like to receive continuing education hours (8 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