2
Name: _________________________________________________ PLEASE PRINT Email: _________________________________________________ Registrant’s Degree: _______________________________________ CME Credits Requested: Yes No Address: ________________________________________________ City: ____________________ State: ______ Zip: _______________ Ph: (____)________________ Cell: (____) ____________________ Is this your first CMA Educational Conference? Yes No Special Dietary Needs: __________________________________ List names of ALL Attending and specify event for each person: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ DONATION OPPORTUNITIES I would like to make a tax-deductible donation to the Medical Student and Resident Education Fund $ _______ I would like to support the conference with a tax-deductible donation $ _______ Registration may be submitted via mail, fax or via the CMA Online Conference Registration Page: cathmed.org/events Please make checks payable to Catholic Medical Association. Mail (or fax: 866-714-0242) the completed form to: CATHOLIC MEDICAL ASSOCIATION 550 PINETOWN RD, SUITE 205 FT. WASHINGTON, PA 19034 AmEx Discover MasterCard Visa Cardholder Name: ________________________________________ Card Number: ______________________________ CVV#________ Expiration Date: ___/_____ Amount Authorized: $ ______________ Billing Address: __________________________________________ Cardholder Signature: _____________________________________ REFUND POLICY: A refund will be given if notification is received in writing on or before September 1, 2021; minus a $75 administrative fee. No refunds AFTER September 1, 2021. 90th Annual Educational Conference OCTOBER 7-9, 2021 e 2021 Annual Educational Conference will be held October 7-9, 2021 at the Caribe Royale Orlando and Online. e patron saints for e Joy of Medicine will be Saint Philip Neri, the patron saint of joy; and Saint John Paul II. Philip joyfully ministered to the dying in Roman hospitals in the 16th century and gives us an example of how to be joyful amidst the work of caring for our patients. Saint John Paul II showed us how a patient can joyfully bear his suffering. Joy is the reward for a life lived well, or to paraphrase Aquinas, a life loved well. Joy is an experience we all seek for its own sake, a foretaste of the Beatitude we are meant to experience forever. e plenary sessions of e Joy of Medicine will first explore the nature of joy and its relationship to love and suffering. Second, many speakers will describe how and where they have discovered joy as physicians in an array of settings. Finally, experts will explain how to practically rediscover joy in your life of medicine if joy has become a stranger to you. As a bonus, by attending this family friendly conference in Orlando, you will be able to meet and get to know like-minded medical professionals and family members who seek joy by knowing and imitating Christ. Register Now for the 90th Annual Educational Conference THE JOY OF MEDICINE SINGLE-DAY REGISTRATION Includes everything for a single day (except Special Event and Banquet) Circle Day(s): ursday Friday Saturday MEMBERS & NON-MEMBERS INCLUDING CME CREDIT By June 30 $325 $_________ After July 1 $390 $_________ MEMBERS & NON-MEMBERS WITHOUT CME CREDIT By June 30 $250 $_________ After July 1 $315 $_________ SATURDAY EVENING BANQUET Included in the Full Conference Package Additional Tickets: Adults $130 $_________ Children (10 years and under) $30 $_________ VIRTUAL CONFERENCE INCLUDING CME CREDIT By June 30 $550 $_________ After July 1 $600 $_________ WITHOUT CME CREDIT By June 30 $450 $_________ After July 1 $500 $_________ SPECIAL EVENTS Not included in the Full Conference Package. Event attendance is limited. Wednesday Pre-Conference (Please Choose One) Pilgrimage: Basilica of the National Shrine of Mary, Queen of the Universe 8:30 am – 3:30 pm • $75.00 per person $_________ End of Life Forum 7:30 am – 5:00 pm • $150.00 per person $_________ Natural Family Planning Forum 3:00 pm – 5:30 pm • $50.00 per person $_________ ursday Evening Special Event Drive Shack: A Night up to Par Includes a dinner buffet, beverages and game play 6:00 – 9:00 pm Adults $125.00 Children (ages 10 and under) $50.00 $_________ TOTAL AMOUNT $_________ To ensure your place, please return this Registration Form and the correct fee no later than September 1, 2021 FULL CONFERENCE PACKAGE Includes Registration on ursday, Friday and Saturday, Breakfasts, Lunches, the Saturday Evening Banquet and access to all talks. CMA MEMBERS INCLUDING CME CREDIT By June 30 $850 $_________ After July 1 $925 $_________ CMA MEMBERS WITHOUT CME CREDIT By June 30 $665 $_________ After July 1 $745 $_________ NON-CMA MEMBERS INCLUDING CME CREDIT By June 30 $960 $_________ After July 1 $990 $_________ NON-CMA MEMBERS WITHOUT CME CREDIT By June 30 $745 $_________ After July 1 $835 $_________ Limited scholarships are available for medical students and residents. Contact the CMA for more information.

Annual Educational Conference THE JOY OF MEDICINE

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Name: _________________________________________________ PLEASE PRINT

Email: _________________________________________________

Registrant’s Degree: _______________________________________

CME Credits Requested: Yes No

Address: ________________________________________________

City: ____________________ State: ______ Zip: _______________

Ph: (____)________________ Cell: (____) ____________________

Is this your first CMA Educational Conference? Yes No

Special Dietary Needs: __________________________________

List names of ALL Attending and specify event for each person:

_______________________________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

DONATION OPPORTUNITIES

I would like to make a tax-deductible donation tothe Medical Student and Resident Education Fund $ _______

I would like to support the conference with atax-deductible donation $ _______

Registration may be submitted via mail, fax or via the CMA Online Conference Registration Page: cathmed.org/events

Please make checks payable to Catholic Medical Association.Mail (or fax: 866-714-0242) the completed form to:

CATHOLIC MEDICAL ASSOCIATION550 PINETOWN RD, SUITE 205FT. WASHINGTON, PA 19034

AmEx Discover MasterCard Visa

Cardholder Name: ________________________________________

Card Number: ______________________________ CVV#________

Expiration Date: ___/_____ Amount Authorized: $ ______________

Billing Address: __________________________________________

Cardholder Signature: _____________________________________

REFUND POLICY: A refund will be given if notification is received in writing on or before September 1, 2021; minus a $75 administrative fee. No refunds AFTER September 1, 2021.

9 0 t h A n n u a l E d u c a t i o n a l C o n f e r e n c e

OCTOBER 7-9, 2021

The 2021 Annual Educational Conference will be held October 7-9, 2021 at the Caribe Royale Orlando and Online. The patron saints for The Joy of Medicine will be Saint Philip Neri, the patron saint of joy; and Saint John Paul II. Philip joyfully ministered to the dying in Roman hospitals in the 16th century and gives us an example of how to be joyful amidst the work of caring for our patients. Saint John Paul II showed us how a patient can joyfully bear his suffering.

Joy is the reward for a life lived well, or to paraphrase Aquinas, a life loved well. Joy is an experience we all seek for its own sake, a foretaste of the Beatitude we are meant to experience forever. The plenary sessions of The Joy of Medicine will first explore the nature of joy and its relationship to love and suffering. Second, many speakers will describe how and where they have discovered joy as physicians in an array of settings. Finally, experts will explain how to practically rediscover joy in your life of medicine if joy has become a stranger to you. As a bonus, by attending this family friendly conference in Orlando, you will be able to meet and get to know like-minded medical professionals and family members who seek joy by knowing and imitating Christ.

Register Now for the 90th Annual Educational Conference

THE JOY OF MEDICINE

SINGLE-DAY REGISTRATION Includes everything for a single day (except Special Event and Banquet)

Circle Day(s): Thursday Friday Saturday

MEMBERS & NON-MEMBERS INCLUDING CME CREDITBy June 30 $325 $_________After July 1 $390 $_________

MEMBERS & NON-MEMBERS WITHOUT CME CREDIT By June 30 $250 $_________After July 1 $315 $_________

SATURDAY EVENING BANQUETIncluded in the Full Conference PackageAdditional Tickets: Adults $130 $_________Children (10 years and under) $30 $_________

VIRTUAL CONFERENCEINCLUDING CME CREDIT

By June 30 $550 $_________After July 1 $600 $_________

WITHOUT CME CREDITBy June 30 $450 $_________After July 1 $500 $_________

SPECIAL EVENTS Not included in the Full Conference Package. Event attendance is limited.

Wednesday Pre-Conference (Please Choose One)

Pilgrimage: Basilica of the National Shrine of Mary, Queen of the Universe8:30 am – 3:30 pm • $75.00 per person $_________End of Life Forum 7:30 am – 5:00 pm • $150.00 per person $_________Natural Family Planning Forum3:00 pm – 5:30 pm • $50.00 per person $_________

Thursday Evening Special Event

Drive Shack: A Night up to Par Includes a dinner buffet, beverages and game play6:00 – 9:00 pm Adults $125.00 Children (ages 10 and under) $50.00 $_________

TOTAL AMOUNT $_________

To ensure your place, please return this Registration Form and the correct fee no later than September 1, 2021

FULL CONFERENCE PACKAGE Includes Registration on Thursday, Friday and Saturday, Breakfasts, Lunches, the Saturday Evening Banquet and access to all talks.CMA MEMBERS INCLUDING CME CREDIT

By June 30 $850 $_________After July 1 $925 $_________

CMA MEMBERS WITHOUT CME CREDIT By June 30 $665 $_________After July 1 $745 $_________

NON-CMA MEMBERS INCLUDING CME CREDITBy June 30 $960 $_________After July 1 $990 $_________

NON-CMA MEMBERS WITHOUT CME CREDITBy June 30 $745 $_________After July 1 $835 $_________

Limited scholarships are available for medical students and residents. Contact the CMA for more information.

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Our Lineup of Conference Speakers Includes:

• Keynote Speaker – Mario Enzler, Ph.D.

• Kathleen M. Berchelmann, M.D.

• Robert H. Collins, Jr., M.D., F.A.C.P.

• Ashley K. Fernandes, M.D., Ph.D.

• Robin J. Goldsmith, M.D.

• Jennifer Perone, M.D.• Christopher B. Stroud, M.D.• Frances Broghammer, M.D.• Greg F. Burke, M.D.• Amber Day. M.D.• Paul W. Day, M.D.• Sr. Mary Diana Dreger, O.P., M.D.• Marguerite R. Duane, M.D.• Barbara Harty Golder, M.D., J.D.• Barbara Kaminskas• David A. Kaminskas, M.D.• Kevin Majeres• Rev. Robert McTeigue, S.J., Ph.D.• Andrew Mullally, M.D.• Dominic O. Vachon M.Div., Ph.D.

Plus over 40 Breakout Sessions!

Visit our website for more information:www.cathmed.org/events

Mario Enzler, Ph.D.