UTAH PRIMARY CARE SUMMIT REGISTRATION

October 5, 2018 from 8:30 to 3:30 at Rice‐Eccles Stadium

$75 early registration until September 1, 2018
$90 registration beginning September 2, 2018

$50 registration for students and community health workers

Breakfast and lunch included

Photo Release I grant my absolute and irrevocable permission to use any photographs taken of me in any Utah AHEC publication or promotion. Utah AHEC has my permission to copyright and use the photographs of me in any form it chooses. I release and discharge the Utah AHEC from any and all claims arising out of or in connection with the use of the photographs, including but not limited to any and all claims for libel or invasion of privacy. The authorization and release shall apply to all heirs, legal representative, licensees, and assigns of Utah AHEC. I understand that Utah AHEC is a non‐profit federal organization and that the use of my name and likeness will be limited to educational, non‐commercial purposes. No other oral or written representations or promises have been made to me. I have read the above information and I fully understand the contents. This release will be binding upon me and my heirs, legal representative and assigns. You will be permitted to participate in this event regardless of your decision.

Thanks to the University of Utah for allowing us to use their payment services! After hitting ‘Register Now’ you will be redirected to the payment page.