Western Section AUA
Advance Registration Form
Kapalua 2020
Advance registration rates end July 31

We are so happy you can join us!
Please complete this form - you can choose payment type on the next page. Just so you know, we do not expect to cancel but if it happens your fees are 100% refundable.                                       

Please select your category *
Please select registration package *
Please select registration package *
Please select registration package *
Please select registration package *
Subject to verification of company affiliation and title.

Registration Package Details

WsAUA / AUA Physician Package
Includes badge, materials and admittance to all daily educational programs/sessions and related meals. Also includes these special sessions and activities:
-Health Policy Forum & Lunch
-Practice Mgmt Courses
-PREP-C (Exam Review Prep Courses)
-Round Table Program & Brunch
-The LAB - networking lounge & hospitality (breakfast/breaks) and activities
-SOCIAL EVENTS: Sunday welcome reception / happy hour networking events.

Non-AUA Physician Package
Includes everything in the AUA Package above.

Resident / Fellow Package*
Includes everything in the AUA Package above plus the Resident's Program & Lunch. Resident/Fellows may also bring a spouse/guest at a discounted rate as our way of welcoming you into the Western Section. Your spouse/guest will receive the full spouse/guest package.
*Verification letter or email (INFO@WSAUA.ORG) from Department Chairman required.

APP-PA-Allied Health Professional Package
Includes everything in the AUA Package. Also includes the APP-Allied Health Program. This category includes APPs, Nurse Practitioners, Physician Assistants, Practice Administrators, and Office Managers, etc.

Spouse/Guest Package
Includes badge, tickets to spouse/guest hospitality (Sun-Weds), happy hour events and ticket for the welcome reception. Spouse Hospitality will feature a deluxe continental breakfast Sunday to Wednesday.  Does not include CME.

Children: Families are welcome at the Western Section! A registered spouse/guest may bring their children (age 10 and under) at no extra charge to the spouse/guest hospitality room for breakfast and welcome reception. Children over age 10: Junior tickets (age 11-20) are also available. Children under 16 are not allowed in the exhibit areas or sessions.

Please provide the information below:     (Please type as you wish your name to appear in print)
Where are you planning to stay? *

Add Spouse and/or Guest Registration:

Optional - Additional Tickets for Spouse/Guests:                                                          
Please indicate quantity in box below: 🛈

Note about optional events:
Some optional events are not yet ready for prime time but in the works. Our usual Thursday night Hukilau is one of them and we are making sure that all events are carefully planned for your enjoyment and safety. We will keep you updated as needed and let you know when these events are available. Mahalo!

Current Total:

WSAUA does not plan to cancel this meeting unless necessary due to travel prohibitions and/or gathering restrictions.

Cancellation Policy: You may cancel your registration up to 14 days prior to the meeting (on or before October 11, 2020) without penalty. You will receive a full refund promptly. Cancellations received after October 11, 2020 cannot be refunded. However, registration is transferable to a friend or associate, or if you decide not to use it we will credit it to a future meeting minus a $100 processing fee. No shows cannot be refunded.

Health and Safety: WSAUA continues to monitor the changing situation related to COVID-19. We understand that concerns for health, safety, and the impact on meeting attendance, among other issues, are affecting our members. At these events, we commit to maintaining all appropriate sanitary, health, and safety measures and encourage attendees to follow guidelines recommended by the Centers for Disease Control and Prevention. If necessary, we will provide information to registrants about virtual options that may be available and/or other details.

Assistance: Please let us or the resort know if you are physically disabled and have special requirements. Send a description of your needs or call us at 714-550-9155.
Consent to Use of Photographic Images: Registration and attendance at, or participation in, WSAUA meetings and other activities constitutes an agreement by the registrant to WSAUA to use and distribution (both now and in the future) of the registrant or attendee’s image or voice in photographs, videotapes, electronic reproductions and audiotapes of such events and activities.
NEED HELP: Please call or email us at 714-550-9155 (info@wsaua.org) for assistance. Thank you.

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