WSRS/WSMA 2019 Annual Meeting Resident/Fellow/Student Registration Saturday, October 12, 2019 Hilton Seattle Airport & Conference Center 17620 International Blvd Seattle, WA 98188 This year’s meeting is held in collaboration with the Washington State Medical Association. This form is for residents, fellows, and medical students only. All other attendees please visit the WSMA Annual Meeting page to register.Name* First Last DegreePreferred First Name for BadgeGroup/HospitalAddress Street Address Address Line 2 City State/Province Postal Code PhoneEmail* Dietary Restrictions Vegetarian Other If other, please provide detailsPlease indicate which of the following best describes you*Radiology resident/fellowRadiation oncology resident/fellowMedical studentWhere are you in training?Registration*Resident/FellowMedical StudentSaturday Lunch*Check the box below if you plan to attend the WSRS Residents & Fellows Lunch Program or the Student Lunch Program. Yes, I would like to attend the Residents & Fellows Lunch Program Yes, I would like to attend the Student Lunch Program No, I will not be attending either lunch Accessibility WSRS is committed to making this meeting as accessible as possible. Let our office know if you have any requests. The earlier you contact us, the better we'll be able to make arrangements. Inquiries Contact Emily Jones at the WSRS Office at 206-956-3621 or email email@example.com. Industry Participation If your company would like to participate as an exhibitor at this meeting, please visit the Exhibitor Registration page to download the exhibitor prospectus and register.