Registration for Annual Meeting 2021 without Payment

Annual Scientific Assembly Registration 2021 WITHOUT Payment

This form is for registering online WITHOUT paying now. There is another form available for those who wish to pay online.

Registrant Name(Required)
Please Choose One:(Required)
Please click the box below if you are an AAFP Fellow with the designation 'FAAFP':
Please click the box below if you are a first-time attendee:
Address:(Required)
MAFP use only
Email will be added to the e-mail blast list to receive communications about the MAFP Annual Meeting.
While in Destin, I will be staying...(Required)

REGISTRATION FEES:

NAMES FOR BADGES AND REGISTRATION LIST:

Please list below any guests who will be attending with you who need a name badge. Name badges are REQUIRED FOR ADMITTANCE to MAFP events. **Please note that anyone age 18 and over who will attend any MAFP events must pay the Spouse/Guest fee.**
Price: $175.00
********This field is meant for children who are UNDER 18.******* Children 18 years or older who plan to attend any functions listed on this form must pay Guest Fee. Names and ages you list here will appear on the Registration List at the event.
Price: $0.00
List any registered guests for whom you are paying the $175 guest fee. Please include any children 18 and over. Anyone you type here will receive a badge and their name will appear on the registration list.
A t-shirt is included in the Spouse/Adult Guest Registration Fee.
The kids you list here will receive a badge and their names will appear on the Registration List.
A t-shirt is included with the Registration Fee and with the Spouse/Adult Guest Registration Fee. Any ADDITIONAL t-shirts should be ordered here.
Price: $18.00
Available Sizes: Youth XS (2-4), Youth S (6-8), Youth M (10-12), Youth L (12-14), Adult S, Adult M, Adult L, Adult XL, Adult 2XL, Adult 3XL

EVENTS

TOPIC: CEREBROVASCULAR DISEASE. Saturday, July 17, from 1-5 pm at Baytowne Conference Center
Dr. E.G. "Nick" Ulmer will present this 2-hr session aimed at residents and new physicians. All registrants are welcome. There is no charge for this session, but please RSVP by indicating here.
Price: $0.00
Sunday, July 18, from 6 - 7:30 pm at the Marina Beach. Family-friendly food and activities. Included in registration fee.
Price: $0.00
Monday, July 19, at 9 am at Baytowne Conf. Center. Adult and kid prizes. Included in registration fee.
Price: $0.00
Monday, July 19 at 2 pm at The Raven Golf Club.
Price: $130.00
Monday, July 19, from 5-7 pm. Starts on the Grand Lawn near Baytowne Conf. Center. PRICE IS PER TEAM/FAMILY, SO PLEASE ENTER "1" FOR UP TO 6 PEOPLE. The Academy Amazing Race is back by popular demand!  The race will take place at various locations throughout the Sandestin Resort.  This game will be similar to a huge scavenger hunt with challenges and clues along the way.  Instead of receiving a list of objects to find, clues will be given throughout the game that lead each team to a particular destination where a task, challenge or clue is waiting.  Once completed to the judges’ satisfaction, teams receive their next challenge. Each team is racing to be the first team to the finish line and become the champions of the Academy Amazing Race.  The fee includes game instruction, judges and refreshments. 
Price: $35.00
Tuesday, July 20, at approximately 12 noon, Baytowne Conf. Center. Included in registration fee.
Price: $0.00
Price: $45.00
Tuesday, July 20, from 2-7 pm. Five-hour trip. Leaves from Destin Marina.
Price: $255.00
Price: $100.00
Online syllabus is available at no charge. Handouts will be available online and in the mobile app in July.

MAFP FOUNDATION FUND RAISER ITEMS

Purchase your items here , and they will be waiting for you at the Registration Desk!
Split the Pot drawing will be held Wednesday, July 21, in the exhibit hall during the morning break. You do not have to be present to win.
Price: $100.00
Price: $50.00
(Special price for Annual Meeting attendees only.)
Price: $50.00

PAYMENT

This field is for validation purposes and should be left unchanged.