2022 Ohio AAP Foundation Luncheon

Please select the 2022 Foundation Luncheon option for which you would like to sponsor and/or register:

Champion for Children-$5,000

Advocate for Children-$3,000

Friend of the Children-$1,500

Table Sponsor-$750

Individual Attendance (Ohio AAP Member or Staff)-$40

Individual Attendance (Non-member)-$60

I can't attend but would still like to support the event!

I would like to purchase raffle tickets to support Ohio Champions for Vaccines (OC4V) at the Ohio AAP Foundation Luncheon.

I would like to make an additional donation of ________ to support the Ohio AAP Foundation.

(Optional Donation)

How you would like your sponsorship recognized in print (individual name, name with partner or family, organization, etc.).

Name *

First

Last Name and Credentials *

Last, Credentials

Organization/Practice *

Street Address 1 *

Street Address 2

City *

State *

Zip *

Phone Number *

Email Address *

Facebook Name/Handle

Information will be only used to tag attendees in selected posts relating to Annual Meeting 2022.

Twitter Handle

Information will be only used to tag attendees in selected posts relating to Annual Meeting 2022.

Total Due ($):

From Fear to Medical Freedom: Overcoming the Anti-Vaccine Movement and Medical Misinformation to Increase Rates Through Pediatricians, Legislators, Media and the Community