Registration Information

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Event Info

Fill out the information below, then click "Next" to continue.

* First name

* Last name

* Email address

* Phone number

*

Class Year

This question is required.

Class of 1976
Class of 1986
Class of 1996
Class of 2001
Class of 2006
Class of 2016
Other

*

How would you like your name to appear on your nametag?
Ex. John Smith, MD ’96

Please share any dietary restrictions. We will do our best to accommodate your needs.

Vegetarian
Vegan
Gluten-free
Food allergy (write in below)
Other

What is your primary reason for attending this event?

Would you like to help with outreach to your class peers for this event?

Yes
No

Please share your favorite memory at the UC San Diego School of Medicine or a piece of advice to share with current medical students.

Guest Information

*Gift contribution is directed to the UC San Diego Foundation in support of the fully expendable fund entitled the Medical Alumni Association Fund (E7737). This fund provides support for the discretionary needs of the Medical Alumni Association at UC San Diego School of Medicine.

Please reach out to medalumni@ucsd.edu if registration costs prevent you from participating in the event.