Meeting Registration

    Registrant and Guest Information

    Registrant First Name (required)

    Registrant Middle Initial

    Registrant Last Name (required)

    Registrant Email (required)

    Send CC Recipient

    CC Email

    Gender
    MaleFemaleOther

    PRS Membership Status (required)

    Credentials
    MDPhDMD/PhDother

    Institution (required)

    Current Title (required)

    Address (required)

    City (required)

    State or Province(required)

    Zip (required)

    Country (required)

    Business Phone (required)


    Rooming Information


    Room Type Request
    Room and bed availability is based upon first registered.

    Guest Name (required - if no guest, please enter "None")

    Arrival Date (required)

    Departure Date (required)

    Names of other guests in your room (children or spouse)
    Please specify relationship after their name.


    Do you need any special accommodations for your stay?
    All requests will remain confidential.


    Reservation Contact Information

    Contact’s Full Name for Reservation (required)

    Telephone or Email (required)


    New This Year - Pay PRS Directly!

    Send your payment directly to PRS using Zelle! This is the preferred method of payment. It will help avoid third-party fees and save PRS money on your registration. If you are unable, the Square links are listed below.

    • $1050 Regular Registration
    • $850 Shared Room Registration
    • $650 Member Guest or Local Registrant (No Hotel Room)

    Send registration fees directly to PRS from your banking website to: laura.goetzl@uth.tmc.edu (Zelle ID).

    Please include name of registrant in memo/add message area (or name of member you are rooming with if guest attendee)

    Meeting Registration Alternate Square Payment Options