Houston Pediatric Society Meeting Reservation

Please fill in the information below to make a reservation for upcoming the Houston Pediatric Society meeting.

First Name *

Last Name *

Degree *

Email Address *

Attendance *

Yes - I will attend

No - I will NOT attend

Membership *

HPS Member

Non-Member

Fellow

Resident

Program (Residents/ Fellows ONLY)

Guest(s) *

Yes

Guest(s) Name - See meeting notice for specifics

Please advise us of any dietary needs