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78th Annual Assembly and Exhibition
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Attendee Registration
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Registration
PLEASE NOTE: The following is the individual registration for physicians, staff and their guests for the 78th Annual Assembly & Exhibition.
Contact Information
First Name
*
Designation
Last Name
*
Mailing Address
*
Address 2
City
*
State
*
Select State
Zip
*
Phone
*
Cell Phone
Email
*
______________________________________________________________
Membership Information
AAFP ID#
Member of LAFP?
*
Yes
No
Type of Member
*
--Select--
Active
Life
Resident
Student
Specialty
______________________________________________________________
Event Attendance
Please select which functions below that you will be attending. If doubtful, please leave blank. This will aid LAFP in receiving an accurate count for meals and social events. These events are included in full registrations, however RSVP is required. Additional tickets may be purchased below. PLEASE NOTE: Daily registrations include CME and breaks with exhibitors only. Tickets required for social events!
Thursday, July 24, 2025
CME Sessions (Virtual attendee)
CME Sessions (In-person attendee)
Breakfast with Exhibitors
Refreshment Break
Lunch with Exhibitors
Welcome Reception (7pm-9:00pm)*RSVP req'd
Friday, July 25, 2025
CME Sessions (Virtual attendee)
CME Sessions (In-person attendee)
Breakfast with Exhibitors
Past President's Breakfast (LAFP Past Pres. Only)
Refreshment Break
General Assembly (LAFP Members only)
Awards and Installation Ceremony
President's Party and Foundation Fundraiser
Saturday, July 26, 2025
CME Sessions (Virtual attendee)
CME Sessions (In-person attendee)
Breakfast with Exhibitors
Residency Program Directors Meeting (Residency Directors ONLY)
Refreshment Break
Lunch
Attendee Social/Reception
Sunday, July 27, 2025
Breakfast Symposium (In-person attendee)
CME Sessions (Virtual attendee)
CME Sessions (In-person attendee)
PLEASE NOTE: Daily registration fees include virtual and in-person attendance. If you are attending in-person the daily rate includes CME and breaks with exhibitors only. Tickets required for social events! Full on-site registrations include all events.
Please select full OR daily registration(s)
*
In-person Full Registration ($550)
Virtual Full Registration ($500)
In-person Daily: Thursday, July 25 ($150)
Virtual Daily: Thursday, July 25 ($125)
In-person Daily: Friday, July 26 ($150)
Virtual Daily: Friday, July 26 ($125)
In-person Daily: Saturday, July 27 ($150)
Virtual Daily: Saturday, July 27 ($125)
In-person Daily: Sunday, July 28 ($150)
Virtual Daily: Sunday, July 28 ($125)
Please select full OR daily registration(s)
*
In-person Full Registration ($400)
Virtual Full Registration ($300)
In-person Daily: Thursday, July 25 ($100)
Virtual Daily: Thursday, July 25 ($75)
In-person Daily: Friday, July 26 ($100)
Virtual Daily: Friday, July 26 ($75)
In-person Daily: Saturday, July 27 ($100)
Virtual: Saturday, July 27 ($75)
In-person Daily: Sunday, July 28 ($100)
Virtual Daily: Sunday, July 28 ($75)
Please select full OR daily registration(s)
*
In-person Full Registration ($250)
Virtual Full Registration ($200)
In-person Daily: Thursday, July 25 ($75)
Virtual Daily: Thursday, July 25 ($65)
In-person Daily: Friday, July 26 ($75)
Virtual Daily: Friday, July 26 ($65)
In-person Daily: Saturday, July 27 ($75)
Virtual: Saturday, July 27 ($65)
In-person Daily: Sunday, July 28 ($75)
Virtual Daily: Sunday, July 28 ($65)
Please select full OR daily registration(s)
*
In-person Full Registration (FREE)
Virtual Full Registration (FREE)
In-person Daily: Thursday, July 25 (FREE)
Virtual Daily: Thursday, July 25 (FREE)
In-person Daily: Friday, July 26 (FREE)
Virtual Daily: Friday, July 26 (FREE)
In-person Daily: Saturday, July 27 (FREE)
Virtual Daily: Saturday, July 27 (FREE)
In-person Daily: Sunday, July 28 (FREE)
Virtual Daily: Sunday, July 28 (FREE)
Please select full OR daily registration(s)
*
In-person Full Registration ($650)
Virtual Full Registration ($600)
In-person Daily: Thursday, July 25 ($175)
Virtual Daily: Thursday, July 25 ($150)
In-person Daily: Friday, July 26 ($175)
Virtual Daily: Friday, July 26 ($150)
In-person Daily: Saturday, July 27 ($175)
Virtual: Saturday, July 27 ($150)
In-person Daily: Sunday, July 28 ($175)
Virtual Daily: Sunday, July 28 ($150)
______________________________________________________________
Guest Registration
Guest registration is $80 for adult or child. Includes admission into the Welcome Reception, Awards & Installation Ceremony and President's Party/Foundation Fundraiser. Must accompany attendee registration.
Number of Guest(s)
--Select--
1 guest - $80
2 guests - $160
3 guests - $240
4 guests - $320
Guest 1
Adult or Child?
*
--Select--
Adult
Child
First Name
*
Last Name
*
Guest 2
Adult or Child?
*
--Select--
Adult
Child
First Name
*
Last Name
*
Guest 3
Adult or Child?
*
--Select--
Adult
Child
First Name
*
Last Name
*
Guest 4
Adult or Child?
*
--Select--
Adult
Child
First Name
*
Last Name
*
______________________________________________________________
Additional Options
Sponsorship of student's attendance at Assembly ($75 each)
Foundation Golf Tournament (Thursday, July 24)
--Select--
1 Adult - $150
2 Adults - $300
Golfer(s) Names
*
Golfer(s) Shirt Size(s)
*
President's Party/Foundation Fundraiser (Friday, July 25)--for guests & daily regis
--Select--
1 Ticket - $50
2 Tickets - $100
3 Tickets - $150
4 Tickets - $200
5 Tickets - $250
6 Tickets - $300
Names
Awards and Installation Ceremony--(Friday, July 25)--for guests & daily regis
--Select--
1 Ticket - $40
2 Tickets - $80
3 Tickets - $120
4 Tickets - $160
5 Tickets - $200
6 Tickets - $240
Names
*
Donation to LAFP Foundation (number only)
Donation attributed to
--Select--
General Fund
Fleming Fund
Gehringer Fund
F.P. Bordelon Fund
Tulane Fund
Jean Aitken Fund
Tar Wars
T-Shirt Size
*
______________________________________________________________
How did you hear about this meeting?
______________________________________________________________
Please list any special dietary restrictions.
______________________________________________________________
If you have any questions or comments, please contact the LAFP office at (225) 923-3313 or e-mail info@lafp.org.
CANCELLATION POLICY: Refunds, less a $100 administrative fee will be issued upon written request until April 24, 2025. You may cancel your room with a full refund if cancelled 7 days in advance of stay.
Payment Method
Please select method of payment:
*
Pay by Check
Credit/Debit Card
Card Holder Name
Credit Card Number
Expiration Date
Card (CVV) Code
Billing Zip Code
Payment Information
Amount
$
Payment Method
Selected Above
Billing Zipcode
*
Credit Card Number
*
Expiration Date
*
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03
04
05
06
07
08
09
10
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12
/
2024
2025
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2028
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2034
Card (CVV) Code
*
Card Type
*
Visa
MasterCard
Discover
American Express
Card Holder Name
*
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