SHM Converge Virtual 5K

Step One:

You must sign your liability waiver and email it to bizdev@hospitalmedicine.org prior to submitting this form. The first 25 participants will be sent a completion medal.

Participant Completion Form

This is Step Two of the process. If you have not emailed your signed liability waiver to bizdev@hospitalmedicine.org, please do that prior to completing this form.