Side By Side - Rochester, MN

 A Ministry of CMDA for Medical Wives

 Rochester, MN, USA

 "Standing firm in one spirit, striving side by side" Phil. 1:27

 Home

 Registration

.

 Home
Up

 

 

 

Side_By_Side_2008_Registration_Form[1].doc

 

You need to fill out a registration form to join in the fall (click the link above).

You can either fill out this form on your computer and then email it as an attachment to us at :  sidebysiderochester@yahoo.com or you can print it, fill it out, and then send it by regular mail to the address on the form.

An annual $15 registration fee for Medical students, Residents and Fellows and $30 registration fee for Consultants and Non-medical spouses is due when you register.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE:

DO NOT USE THE FORM BELOW.

IT IS NOT SETUP TO USE YET.

IT IS HERE FOR TEST PURPOSES ONLY.

PLEASE USE THE LINK ABOVE FOR 2007 REGISTRATION FORM.

 

 

 

Personal Information

Name

Street Address

City

State

Zip

Telephone
E-mail
Home City
Home State

Children

 

Name                                        Birthday                                   School & Grade                        Special Needs/Allergies             Childcare

Book Choice
Husband's Name
Husband's Department
Husband's Position
Year Finishing

Comments

 

 

 
 Send mail to sbs.webmaster@gmail.com with questions or comments about this web site.
 Last modified: 10/31/08