Kauai Hotel Room Request

Aloha! Please add your name to our notification list. This is not a hotel reservation form.

We expect rooms and overflow accomodations to become available soon.

Once ready, we will notify and update you on all options.

Mahalo!

What will be your registration category? *

Name of person attending meeting: *

Name of person to be on hotel reservation (if different):

Expected travel dates *

Number in party *

Number of rooms needed: *

Company

Email Address *

Best phone number (in case email fails)

Additional Comments

Western Section Member	AUA Member
Allied Health Professional	Exhibitor / Industry
Non-AUA Physician	Resident/Fellow
Other (please describe) Other (please describe)