Event Registration

* Required

Palmerpalooza: A Campus Visit Experience
Saturday, July 20
Palmer College of Chiropractic - San Jose, California

Personal Information

Mailing Address
Home State
Referral
Guests
Current School
Clinic Appointment
Hotel Accommodations
** Palmer will accommodate a one or two-night stay for those residing outside a 80-mile radius of the campus.

By requesting a hotel, I acknowledge that I am at least 18 years of age or older.
Casino Night Attendance
Will you be attending our Casino Night reception on Friday, July 19th?

Choose your program