REGISTRATION FORM Name * First Name Last Name Email * Phone number * (###) ### #### Registration category * your status as of July 13, 2024 Student PGY-1 PGY-2 PGY-3 PGY-4 Fellow Faculty Exhibitor Checkbox Photo Release/Consent I authorize the Society for Academic Emergency Medicine (SAEM) and the 2024 SAEM Southeastern Regional event photographer the absolute right and permission to use any and all photographs in which I am depicted in promotional materials and publicity efforts YES Thank you!