Washburn & McGoldrick 2024 Annual Client Conference Registration Client Conference Registration Form Thursday, June 6, 2024 (11:30 - 6:00 P.M.) at the Joseph I. Lubin House (11 E. 61st Street, New York, NY 10065) "*" indicates required fields Registrant InformationFull Name* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Institution / Organization* Job Title* E-mail* Business Phone*Mobile Phone*Additional Needs and ConsiderationsDo you have any allergies, dietary restrictions or other food-related concerns?* Yes No Details - Allergies / Dietary Restrictions / Other ConcernsDo you have any accessibility concerns or special accommodation requests?* Yes No Details - Accessibility / Special AccommodationsConference Name BadgePreferred Name Badge Details (if different from standard formatting noted below)Please include my pronouns on my name badge Yes No Pronouns Questions?Additional questions or concerns?CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
